Martha E Koglin, PA-C

NPI #1992014898 in Port Austin, Michigan

Provider Information

NPI Number: 1992014898
Entity Type: Individual
Name: Martha E Koglin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2010
Last Updated: Mar 21, 2013

Practice Location

Address: 24 E SPRING ST
City: Port Austin
State: Michigan
ZIP Code: 48467-6736
Phone: (989) 738-5222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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