DR. Mark James Koch, D.C.

NPI #1699828251 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1699828251
Entity Type: Individual
Name: DR. Mark James Koch, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 18, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 1055 LEGION DR
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2202
Phone: (262) 784-8232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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