| Earl R Koenig, MD | |
|
11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | |
| (586) 254-5759 | |
| (586) 254-5793 |
| Full Name | Earl R Koenig |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 11051 Hall Rd, Utica, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083679070 | NPI | - | NPPES |
| 102426 | Other | MI | PRIORITY HEALTH |
| 340019484 | Other | MI | RAILROAD MEDICARE |
| 4391724 | Other | MI | AETNA |
| 5259095001 | Other | MI | CIGNA |
| B45210 | Other | MI | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301030802 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Earl R Koenig, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Earl R Koenig, MD 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 Ph: (586) 254-5759 |
John R Harding, MD Urology Medicare: Medicare Enrolled Practice Location: 11051 Hall Rd, Suite 200, Utica, MI 48317 Phone: 586-254-5759 Fax: 586-254-5793 |
Michael T Chien, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 11051 Hall Rd Ste 200, Utica, MI 48317 Phone: 586-254-5759 Fax: 586-254-5793 |