Individual
DR. JOHN MARK KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6212
Mailing address
3497 NE 78TH AVE, ANKENY, IA 50021-9377
(515) 965-3632
(515) 965-3634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811978646
BLUE SHIELD
IA
05
—
1811978646
—
IA
Enumeration date
11/09/2005
Last updated
05/26/2020
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