Individual
DR. MATTHEW MICHAEL KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
Mailing address
5000 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4184
(415) 499-0100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10685
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2007
Last updated
08/20/2020
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