Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKAELA JEAN KOENIG
ActiveMIKAELA JEAN KOENIG is a Family Medicine healthcare provider located in WAGNER, South Dakota. NPI 1609253806 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WAGNER, SD
Registration Details
- NPI Number
- 1609253806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2015 (11.265522610887 yrs)
- Last Updated
- Oct 16, 2023
- License
-
11242 (SD)
Practice Information
- Address
-
513 3RD ST SWWAGNER, SD, 573809675Browse SD providers · Browse ZIP 57380
- Phone
- 6053843418
- Fax
- 6053845240
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WAGNER, SD
| Name | Credential | NPI |
|---|---|---|
| DR. GRETCHEN MARIE ESPLUND | MD | 1487616827 |
| TIANNA ROSE SMITH | MD | 1578129557 |
| JAROD MYER | FNP-C | 1104517796 |
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.