Ezra Koch, MD
Ezra Koch, MD is a General Practice Physician in Mandan, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.
- Licensed in
- ND
- In the registry since
- 2020
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4108 39th Ave NWMandan, ND 58554-1253
Phone: (701) 426-4291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 19404 (ND) |
|---|
Record details
| NPI number | 1861016024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2020 |
| Last updated in NPPES | March 1, 2023 |
| Certification date | March 1, 2023 |
| Mailing address | 4108 39th Ave Nw, Mandan, ND 58554-1253 |
Other providers in Mandan
-
Sickbay PLLC
4108 39th Ave NW, Mandan, ND 58554-1253 · (701) 426-4291