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Dr. Mark James Koch, DC
Chiropractor in Elm Grove, Wisconsin
NPI 1699828251

Mark James Koch is a Chiropractor based in Elm Grove, WI. Mark James Koch practices in Elm Grove, WI and has the professional credentials of DC. The NPI Number for Mark James Koch is 1699828251 and holds a License No. 3460 (Wisconsin).

The current practice location address for Mark James Koch is 1055 Legion Dr, Elm Grove, WI and can be reached out via phone at 262-784-8232 and via fax at 262-784-4139.

Location: 1055 Legion Dr, Elm Grove, WI, 53122-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699828251
Provider Name
Mark James Koch
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1055 Legion Dr, Elm Grove, WI, 53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38926800 05 WI
institution
Provider Business Practice Location Address Details
Address
1055 Legion Dr
City
Elm Grove
State
Wisconsin
Zip
53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
person
Provider Business Mailing Address Details
Address
1055 Legion Dr
City
Elm Grove
State
Wisconsin
Zip
53122-2202
Phone Number
262-784-8232
Fax Number
262-784-4139
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3460 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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