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Contact Information

DANITA N KOEHLER, MD
1060 GAFFNEY RD
FORT WAINWRIGHT, AK99703-5001
 Phone: 907-361-5345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DANITA N KOEHLER · (Female)

NPI # 1750455150
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 12/21/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 3184
  • AK Medicaid 11272
Hospital affiliation(s)
  • PROVIDENCE VALDEZ MEDICAL CENTER - (Critical Access)
    PO BOX 550
    VALDEZ, AK 99686
  • PROVIDENCE VALDEZ MEDICAL CENTER - (Critical Access)
    PO BOX 550
    VALDEZ, AK 99686
  • WRANGELL MEDICAL CENTER - (Critical Access)
    310 BENNETT STREET PO BOX 1081
    WRANGELL, AK 99929
  • WRANGELL MEDICAL CENTER - (Critical Access)
    310 BENNETT STREET PO BOX 1081
    WRANGELL, AK 99929
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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