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1467478271
JOHN MICHAEL KOCH
GREEN BAY, WI
NPI
1467478271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 46407)
Enumeration Date
2006-07-14
Last Update Date
2008-07-28
Business Address
-- JOHN MICHAEL KOCH MD
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
-- JOHN MICHAEL KOCH MD
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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