Dr. Matthew Michael Koehler, DO
Dermatology in San Rafael, CA. Individual provider (NPI-1).
NPI number1801090519
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1801090519
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Michael Koehler
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2007
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 10685 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5000 Civic Center DrSan Rafael, CA 94903-4184
Phone 415-499-0100
Mailing address
5000 Civic Center DrSan Rafael, CA 94903-4184
Phone 415-499-0100
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