BENJAMIN KOCH

VALPARAISO, IN
NPI1790141273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006049B)
Enumeration Date2016-01-13
Last Update Date2023-10-09
Business Address
BENJAMIN KOCH FNP-BC
2421 LAPORTE AVE
VALPARAISO, IN 46383-6914
Phone number: 219-462-6192
Mailing Address
BENJAMIN KOCH FNP-BC
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800