DONALD M KOONTZ

FARMINGTON HILLS, MI
NPI1730114216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704108585)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
-- DONALD M KOONTZ CRNA
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-471-8720
Mailing Address
-- DONALD M KOONTZ CRNA
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-471-8720
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