Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN JACOB KOENIG, DO
ActiveGeneral Surgery · SOUTH BEND, IN
Registration Details
- NPI Number
- 1821314360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2010 (16.078742543197 yrs)
- Last Updated
- Dec 1, 2025
- License
-
02005590A (IN)
Practice Information
- Address
-
621 MEMORIAL DR STE 502SOUTH BEND, IN, 46601Browse IN providers · Browse ZIP 46601
- Phone
- 5746475875
- Fax
- 5746475878
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. ALFREDO V CASETTI | MD | 1679562383 |
| DR. ROBERT G. CREDI | MD | 1013907781 |
| SCOTT G THOMAS | MD | 1033196126 |
| MARK A THOMPSON | M.D. | 1538136361 |
| DANIEL P. SRIKUREJA | MD | 1235455270 |
| KATHERINE DELAYNE GOZE | — | 1326459108 |
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.