| Doctor Name: | DANIEL K KOSCHTIAL |
| NPI Number: | 1467483727 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | DK001920 |
| Business Practice Address: | 4200 Division Ave N Comstock Park, MI - 493219546 |
| Business Phone Number: | 6162523000 |
| Business Fax Number: | 6162521666 |
| Mailing Address: | 2122 Health Dr Sw, Suite 230 WYOMING |
| State: | MI |
| Postal Code: | 495199698 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DK001920 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |