Individual
DR. PAUL JAMES KOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5541 US HIGHWAY 10 E, SUITE A, STEVENS POINT, WI 54481-9117
(715) 344-7911
(715) 344-7912
Mailing address
5541 US HIGHWAY 10 E, SUITE A, STEVENS POINT, WI 54481-9117
(715) 344-7911
(715) 344-7912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3599
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33680900
—
WI
Enumeration date
02/20/2007
Last updated
07/08/2007
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