Douglas W. Koenke, D.d.s. | |
42850 Schoenherr Rd Suite 5 Sterling Heights MI 48313-2875 | |
(586) 566-0088 | |
(586) 566-0568 |
Full Name | Douglas W. Koenke, D.d.s. |
---|---|
Speciality | Dentist |
Location | 42850 Schoenherr Rd, Sterling Heights, Michigan |
Authorized Official Name and Position | Douglas William Koenke (OWNER) |
Authorized Official Contact | 5865660088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglas W. Koenke, D.d.s. 42850 Schoenherr Rd Suite 5 Sterling Heights MI 48313-2875 Ph: (586) 566-0088 | Douglas W. Koenke, D.d.s. 42850 Schoenherr Rd Suite 5 Sterling Heights MI 48313-2875 Ph: (586) 566-0088 |
NPI Number | 1013136241 |
---|---|
Provider Enumeration Date | 04/25/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013136241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 13000 (Michigan) | Primary |
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