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Individual

JOSEPH MICHAEL KOENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 N FORGE ST, STE. 198, AKRON, OH 44304-1468
(330) 376-1043
(330) 376-9951
Mailing address
161 N FORGE ST, STE. 198, AKRON, OH 44304-1468
(330) 376-1043
(330) 376-9951

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35053810
OH
207RX0202X
Medical Oncology Physician
Primary
35053810
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000134681
ANTHEM
OH
01
0707603
MEDICARE ID
OH
01
0707604
MEDICARE ID
OH
05
0869387
OH
01
1046051
UHC
OH
01
341587155C
ACHS
OH
01
7927182
AETNA
OH
01
830000059
RAILROAD MEDICARE
OH
01
KO0707601
MEDICARE ID
OH
Enumeration date
06/15/2006
Last updated
11/28/2011
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