Earl R Koenig is a Urology in St Clair Shores, Michigan. Earl R Koenig practices all healthcare services and medical treatments related to Urology. The NPI Number for Earl R Koenig is 1083679070. The last update date is 2008-07-28.
Earl R Koenig's current location address is 20952 E 12 Mile Rd, St Clair Shores, Michigan. You can contact this provider via phone number 5867714820 and fax number 5867716620. The mailing address for Earl R Koenig is 20952 E 12 Mile Rd, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl R Koenig |
|---|---|
| Address | 20952 E 12 Mile Rd, St Clair Shores, Michigan |
| Phone Number | 5867714820 |
| Fax Number | 5867716620 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083679070 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 20952 E 12 Mile Rd |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 480813200 |
| Phone Number | 5867714820 |
| Fax Number | 5867716620 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 4301030802 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B45210 | MI | HAP | |
| 4391724 | MI | AETNA | |
| 5259095001 | MI | CIGNA | |
| 102426 | MI | PRIORITY HEALTH | |
| 340019484 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Earl R Koenig by the Centers for Medicare & Medicaid Services?
The Earl R Koenig has been assigned the NPI (National Provider Identifier) 1083679070 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Earl R Koenig is geographically located?
The Earl R Koenig is physically situated at the following location: 20952 E 12 Mile Rd, St Clair Shores, MI, 480813200.
What is Earl R Koenig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Earl R Koenig is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Earl R Koenig receive its 1083679070 assignment from the Centers for Medicare & Medicaid Services?
The Earl R Koenig was assigned its 1083679070 by the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the Earl R Koenig's details last updated?
The information pertaining to the Earl R Koenig, including its address, specialty, and other details, was most recently updated on 2008-07-28.
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