Individual
MATTHEW P KOEHLER
Active
Individual
MATTHEW P KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
049666
OH
207W00000X
Ophthalmology Physician
Primary
4301102751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512381
ANTHEM
OH
01
—
0931159
BCBSM
MI
05
—
1821093535
—
MI
Enumeration date
06/17/2005
Last updated
10/02/2013
Update your record
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