Doctor Name: | DR. ERWIN FREDRICK KOENIG |
NPI Number: | 1780951095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14915 |
Business Practice Address: | 825 Charing Cross Rd Madison, WI - 537046082 |
Business Phone Number: | 6084459486 |
Business Fax Number: | |
Mailing Address: | 825 Charing Cross Rd, MADISON |
State: | WI |
Postal Code: | 537046082 |
Phone Number: | 6084459486 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |