Individual
JOSEPH MICHAEL KOENIG
Active
Individual
JOSEPH MICHAEL KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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