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Individual

NATHAN ALLEN KOEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
101 14TH ST NE, SUITE A, BUFFALO, MN 55313-2927
(769) 684-3899
Mailing address
101 14TH ST NE, SUITE A, BUFFALO, MN 55313-2927
(769) 684-3899

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2296
MN

Other

Enumeration date
10/21/2011
Last updated
11/25/2018
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