Patrick H Koch, CBIS
Patrick H Koch, CBIS is a Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1490 E Beltline Ave SEGrand Rapids, MI 49506-4336
Phone: (616) 940-0040
Fax: (616) 940-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1255 (MI) |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1730409392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CBIS |
| Sole proprietor | No |
| NPI enumerated | June 7, 2010 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
| Mailing address | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 |
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MS. Bridgette Renee Lyonnais
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