Bruce M Koch, OD

NPI #1720031529 in Prairie Du Sac, Wisconsin

Provider Information

NPI Number: 1720031529
Entity Type: Individual
Name: Bruce M Koch, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 19, 2006
Last Updated: Apr 11, 2011

Practice Location

Address: 1110 PRAIRIE ST
City: Prairie Du Sac
State: Wisconsin
ZIP Code: 53578-2044
Phone: (608) 643-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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