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Earl R Koenig, MD
Urology Physician in Utica, Michigan
NPI 1083679070

Earl R Koenig is a Urology Physician based in St Clair Shores, MI. Earl R Koenig practices in Utica, MI and has the professional credentials of MD. The NPI Number for Earl R Koenig is 1083679070 and holds a License No. 4301030802 (Michigan).

The current practice location address for Earl R Koenig is 11051 Hall Rd, Utica, MI and can be reached out via phone at 586-254-5759 and via fax at 586-254-5793.

Location: 11051 Hall Rd, Utica, MI, 48081-3200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083679070
Provider Name
Earl R Koenig
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11051 Hall Rd, Utica, MI, 48081-3200
Phone Number
586-254-5759
Fax Number
586-254-5793
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B45210 01 MI HAP
4391724 01 MI AETNA
5259095001 01 MI CIGNA
102426 01 MI PRIORITY HEALTH
340019484 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
11051 Hall Rd
City
Utica
State
Michigan
Zip
48317-5735
Phone Number
586-254-5759
Fax Number
586-254-5793
person
Provider Business Mailing Address Details
Address
11051 Hall Rd
City
Utica
State
Michigan
Zip
48317-5735
Phone Number
586-254-5759
Fax Number
586-254-5793
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
4301030802 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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