Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Thomas Koehl, MD

Individual provider Family Medicine Physician · NPI 1053399220

Dr. Mark Thomas Koehl, MD is a Family Practice in Temperance, Michigan. Graduated from Medical College of Ohio in 1987, 39 years ago. Practices with Family Medical Center of Michigan Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Trained at
Medical College of Ohio
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8765 Lewis Ave
Temperance, MI 48182-9583
Phone: (734) 847-3802
Fax: (734) 847-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301055332 (MI)

Record details

NPI number1053399220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMarch 5, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1987 (39 years in practice)
Group practice Family Medical Center Of Michigan Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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