Individual
DR. DAVID A KOEHLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 W IOWA ST, EVANSVILLE, IN 47710-1724
(812) 450-7419
(812) 450-6760
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-7419
(812) 450-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103830C
—
IN
Enumeration date
11/01/2006
Last updated
09/10/2009
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