Douglas William Koenke in Sterling Heights - General Practice
Douglas William Koenke - NPI 1942288865
Douglas William Koenke is a General Practice in Sterling Heights, Michigan. Douglas William Koenke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas William Koenke is 1942288865. The last update date is 2007-07-08.
Douglas William Koenke's current location address is 42850 Schoenherr Rd, Sterling Heights, Michigan. You can contact this provider via phone number 5865660088 and fax number 5865660568. The mailing address for Douglas William Koenke is 42850 Schoenherr Rd, Sterling Heights, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas William Koenke |
|---|---|
| Address | 42850 Schoenherr Rd, Sterling Heights, Michigan |
| Phone Number | 5865660088 |
| Fax Number | 5865660568 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1942288865 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42850 Schoenherr Rd |
|---|---|
| City | Sterling Heights |
| State | Michigan (MI) |
| Post Code | 483132875 |
| Phone Number | 5865660088 |
| Fax Number | 5865660568 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13000 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13000 | MI | DENTAL LICENSE |
Post Comment/ Review Below
What is the area of specialization for Douglas William Koenke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas William Koenke is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When was the Douglas William Koenke's 1942288865 issued?
The Douglas William Koenke's 1942288865 was issued on 2006-01-03.
On what date did the Centers for Medicare & Medicaid Services issue the 1942288865 to Douglas William Koenke?
The Douglas William Koenke received its 1942288865 assignment from the Centers for Medicare & Medicaid Services on 2006-01-03.
When was the Douglas William Koenke's information last updated?
The Douglas William Koenke's information was last updated on 2007-07-08.
When was the information pertaining to Douglas William Koenke most recently updated or revised?
The details related to Douglas William Koenke, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.