Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARTIN JOHN KOOP, D.D.S.
ActiveDR. MARTIN JOHN KOOP, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in LA CROSSE, Wisconsin. NPI 1639158660 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LA CROSSE, WI
Registration Details
- NPI Number
- 1639158660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.555089177327 yrs)
- Last Updated
- Feb 8, 2016
- Licenses
-
D9781 (MN)6099 (WI)
Practice Information
- Address
-
1836 SOUTH AVELA CROSSE, WI, 546015429Browse WI providers · Browse ZIP 54601
- Phone
- 6087827300
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in LA CROSSE, WI
| Name | Credential | NPI |
|---|---|---|
| P MICHAEL BANASIK | DDS | 1932103900 |
| DR. TIMOTHY BREKKE DURTSCHE | D.D.S. | 1447254305 |
| DR. THOMAS STUART MACKENZIE | DDS | 1205814407 |
| LESLEE C TIMM | DDS | 1386782324 |
| DAVID GRANT CLEVERLY | DDS | 1841470994 |
| MRS. DEEPA T. SATHIAH | D.D.S. | 1053582916 |
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.