MARK KOEHL

FORT WAYNE, IN
NPI1780564435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-09-04
Last Update Date2025-09-04
Business Address
-- MARK KOEHL PA
1721 MAGNAVOX WAY
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
Mailing Address
-- MARK KOEHL PA
1721 MAGNAVOX WAY STE B
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
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