Individual
GERALD KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, K-2 CARDIOLOGY, DETROIT, MI 48202-2608
(313) 916-7930
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301078320
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301078320
MI
207RI0011X
Interventional Cardiology Physician
4301078320
MI
Other
Enumeration date
03/27/2007
Last updated
10/05/2023
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