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Organization

W C KOENIG JR MD PC

Active
Other names
William C. Koenig Jr MD PC
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM CARL KOENIG JR. M.D. (PRESIDENT AND CEO)
(515) 237-3974
Entity
Organization

Contact information

Practice address
2600 GRAND AVE, SUITE 102, DES MOINES, IA 50312-5375
(515) 283-1570
(515) 283-1681
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0301861
IA
01
DH0057
RAILROAD MEDICARE PIN
IA
Enumeration date
05/23/2006
Last updated
03/03/2011
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