Individual
DR. BRYAN KEVIN KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66464
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2018
Last updated
07/21/2021
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