Individual
WILLIAM CARL KOENIG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
21133
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811942659
WELLMARK BCBS
IA
05
—
1811942659
—
IA
01
—
421169749
RR MEDICARE
IA
Enumeration date
08/15/2005
Last updated
04/15/2014
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