Organization
COHO FOOT & ANKLE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEKKER NOLAN MCKEEVER DPM (PRESIDENT)
(360) 582-2651
Entity
Organization
Contact information
Practice address
103 W CEDAR ST, SEQUIM, WA 98382
(888) 406-2646
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
60673015
WA
Other
Enumeration date
12/30/2016
Last updated
10/03/2018
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