Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT MARK KOEHLER, MD
ActiveSCOTT MARK KOEHLER, MD is a Sports Medicine healthcare provider located in NORTHFIELD, Minnesota. NPI 1033173414 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · NORTHFIELD, MN
Registration Details
- NPI Number
- 1033173414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2006 (20.336775852719 yrs)
- Last Updated
- Nov 9, 2020
- Licenses
-
43309 (MN)43309 (MN)
Practice Information
- Address
-
1400 JEFFERSON RDNORTHFIELD, MN, 550573081Browse MN providers · Browse ZIP 55057
- Phone
- 5076639000
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.