TRAVIS RYAN KOOIMA

SUN PRAIRIE, WI
NPI1396323994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI  81468)
Enumeration Date2021-04-02
Last Update Date2023-05-04
Business Address
TRAVIS RYAN KOOIMA MD
1714 FAIR PHEASANT WAY
SUN PRAIRIE, WI 53590-9419
Phone number: 712-470-6699
Mailing Address
TRAVIS RYAN KOOIMA MD
4109 S GRAND SLAM PL APT 10
SIOUX FALLS, SD 57110-4850
Phone number: 712-470-6699
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