MICHAEL STEPHEN KOCH

DECATUR, IL
NPI1235105404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  96002099)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
-- MICHAEL STEPHEN KOCH MS, ATC
102 W KENWOOD AVE
DECATUR, IL 62526-4300
Phone number: 217-876-6820
Mailing Address
-- MICHAEL STEPHEN KOCH MS, ATC
3137 COLORADO DR
DECATUR, IL 62526-2332
Phone number:
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