Individual
PETER KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
(612) 721-6261
Mailing address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16269
MN
Other
Enumeration date
02/23/2006
Last updated
05/12/2008
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