Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN ALAN KOESTER, MD
ActiveGLENN ALAN KOESTER, MD is a Procedural Dermatology healthcare provider located in EDMOND, Oklahoma. NPI 1790892461 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · EDMOND, OK
Registration Details
- NPI Number
- 1790892461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.982878235033 yrs)
- Last Updated
- Jul 19, 2013
- License
-
18783 (OK)
Practice Information
- Address
-
3863 S. BOULEVARDEDMOND, OK, 73034Browse OK providers · Browse ZIP 73034
- Phone
- 4052165444
- Fax
- 4052165445
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.