Individual
JOSHUA JACK KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950B N WYOMISSING BLVD, WYOMISSING, PA 19610-1783
(610) 898-2491
Mailing address
950B N WYOMISSING BLVD, WYOMISSING, PA 19610-1783
(610) 898-2491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050787
PA
Other
Enumeration date
04/03/2007
Last updated
12/29/2016
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