Individual
RACHEL MARIE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11068
MN
363A00000X
Physician Assistant
1678
MN
363A00000X
Physician Assistant
4328-23
WI
363A00000X
Physician Assistant
PA10005119
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217012
LABOR & INDUSTRIES
—
01
—
6168PE
REGENCE
—
Enumeration date
01/11/2007
Last updated
06/27/2022
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