Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL KOOISTRA JR., MD
ActiveDR. MICHAEL KOOISTRA JR., MD is a Family Medicine healthcare provider located in AUBURN, Indiana. NPI 1508864380 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · AUBURN, IN
Registration Details
- NPI Number
- 1508864380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (21.061718265218 yrs)
- Last Updated
- Jan 2, 2024
- License
-
01045333A (IN)
Practice Information
- Address
-
1306 E 7TH ST STE AAUBURN, IN, 467062537Browse IN providers · Browse ZIP 46706
- Phone
- 2609251255
- Fax
- 2609251256
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in AUBURN, IN
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS P MASON | M.D. | 1952306722 |
| DR. ROBERT LANCE BURTON | MD | 1689672636 |
| DR. PHILIP J CHASE | MD | 1225036007 |
| DR. RICHARD P TOUPIN | MD | 1841299674 |
| DR. PAUL H REXROTH | MD | 1811995681 |
| DR. JAMES G INGRAM | MD | 1972502706 |
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.