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1225058878
MICHAEL R. KOCH
WAUPACA, WI
NPI
1225058878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 4135-024)
Enumeration Date
2006-07-19
Last Update Date
2018-10-11
Business Address
MICHAEL R. KOCH PT
1948 GODFREY DR
WAUPACA, WI 54981-7908
Phone number: 715-340-5383
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Mailing Address
MICHAEL R. KOCH PT
1439 CHURCHILL ST SUITE 102
WAUPACA, WI 54981-2089
Phone number: 715-258-7778
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