Mark Koehl, PA
Mark Koehl, PA is a Physician Assistant in Fort Wayne, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1721 Magnavox WayFort Wayne, IN 46804-1537
Phone: (260) 748-3650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1780564435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 4, 2025 |
| Last updated in NPPES | September 4, 2025 |
| Certification date | August 11, 2025 |
| Mailing address | 1721 Magnavox Way Ste B, Fort Wayne, IN 46804-1537 |
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