Douglas W. Koenke, D.d.s.

NPI #1013136241 in Sterling Heights, Michigan

Provider Information

NPI Number: 1013136241
Entity Type: Organization
Organization Name: Douglas W. Koenke, D.d.s.
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 42850 SCHOENHERR RD
Address 2: SUITE 5
City: Sterling Heights
State: Michigan
ZIP Code: 48313-2875
Phone: (586) 566-0088

Authorized Official

Name: DR. DOUGLAS WILLIAM KOENKE, D.D.S.
Title: OWNER
Phone: (586) 566-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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