Individual
DUANE GERARD KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 B ST SW, MIAMI, OK 74354-6808
(918) 542-5551
(918) 542-1555
Mailing address
30 B ST SW, MIAMI, OK 74354-6808
(918) 542-5551
(918) 542-1555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2956
OK
208D00000X
General Practice Physician
Primary
2956
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080320A
—
OK
05
—
100080320B
—
OK
05
—
100080320C
—
OK
05
—
100699440M
—
OK
05
—
100724930F
—
OK
Enumeration date
01/11/2006
Last updated
10/27/2009
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