Individual
MS. SUSAN OVEREND KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 82ND PLACE, WADLE AND ASSOCIATES, URBANDALE, IA 50322
(515) 270-1344
Mailing address
111 10TH ST, UNIT 318, DES MOINES, IA 50309-4220
(515) 231-7274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001305
IA
Other
Enumeration date
10/11/2006
Last updated
01/06/2011
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