Mikaela Jean Koenig

NPI #1609253806 in Wagner, South Dakota

Provider Information

NPI Number: 1609253806
Entity Type: Individual
Name: Mikaela Jean Koenig
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 27, 2015
Last Updated: Oct 16, 2023

Practice Location

Address: 513 3RD ST SW
City: Wagner
State: South Dakota
ZIP Code: 57380-9675
Phone: (605) 384-3418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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