Individual
CHRISTINA MARIE KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4597
(517) 253-8243
(517) 371-4245
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4597
(517) 253-8243
(517) 371-4245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00004301093690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8293672
—
WA
Enumeration date
11/07/2006
Last updated
05/31/2023
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