MS. Maggie J Koch, O.A.
NPI #1023097987 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1023097987
- Entity Type
- Individual
- Name
- MS. Maggie J Koch, O.A.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- O.A.
- Enumeration Date
- Jan 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6490 EXCELSIOR BLVD
- Address 2
- STE E400
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-4705
- Phone
- (952) 993-3123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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