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1215446083
ALEX K KOCH
GRAFTON, WI
NPI
1215446083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 5385)
Enumeration Date
2017-09-25
Last Update Date
2024-06-10
Business Address
ALEX K KOCH PA
975 PORT WASHINGTON RD
GRAFTON, WI 53024-9201
Phone number: 262-329-1000
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Mailing Address
ALEX K KOCH PA
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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