Individual
MR. THOMAS G KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
208 LAKEWOOD LN, GEORGETOWN, OH 45121-9039
(937) 378-7500
Mailing address
208 LAKEWOOD LN, GEORGETOWN, OH 45121-9039
(937) 378-7500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15365
OH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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