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Paul David Koch, MD
Hematology & Oncology Physician in Green Bay, Wisconsin
NPI 1649346073

Paul David Koch is a Hematology & Oncology Physician based in De Pere, WI and is specialized in Hematology & Oncology. Paul David Koch practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Paul David Koch is 1649346073 and holds a License No. 20415-020 (Wisconsin).

The current practice location address for Paul David Koch is 835 S Van Buren St, Green Bay, WI and can be reached out via phone at 920-593-3938 and via fax at 920-884-3271.

Location: 835 S Van Buren St, Green Bay, WI, 54115-8794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649346073
Provider Name
Paul David Koch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
835 S Van Buren St, Green Bay, WI, 54115-8794
Phone Number
920-593-3938
Fax Number
920-884-3271
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30980400 05 WI
institution
Provider Business Practice Location Address Details
Address
835 S Van Buren St
City
Green Bay
State
Wisconsin
Zip
54301-3526
Phone Number
920-593-3938
Fax Number
920-884-3271
person
Provider Business Mailing Address Details
Address
835 S Van Buren St
City
Green Bay
State
Wisconsin
Zip
54301-3526
Phone Number
920-593-3938
Fax Number
920-884-3271
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
20415-020 (Wisconsin)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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