DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW MICHAEL KOECK, BSN-RN

Active

MATTHEW MICHAEL KOECK, BSN-RN is a Registered Nurse First Assistant healthcare provider located in FOND DU LAC, Wisconsin. NPI 1205605011 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse First Assistant · FOND DU LAC, WI

Registration Details

NPI Number
1205605011
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2023 (2.457848072974 yrs)
Last Updated
Dec 21, 2023
License
254449 (WI)

Practice Information

Address
430 E DIVISION ST
FOND DU LAC, WI, 549354560
Browse WI providers · Browse ZIP 54935
Phone
9209292300
Fax
9209264875
Primary Specialty
Registered Nurse First Assistant
163WR0006X

Other Registered Nurse First Assistant Providers in FOND DU LAC, WI

Name Credential NPI
SHERI A SMIT RN 1699096123
ALLY EIGENBRODT RN BSN FIRST ASSIST 1356865950
GINA PAVEGLIO RN 1952933046
CHRISTOPHER S STOLPER RN 1790554616
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.