Individual provider · Type 1 NPI

Melissa Kathy Koekkoek, MD

Adult Medicine Physician · Muskegon, MI

NPI number 1720176290 Active

Practice location

1670 E Sherman Blvd
Muskegon, MI 49444-1863

Fax (231) 672-2401

Other practice locations

  • 590 S Main St, Snowflake, AZ 85937-5228 · (928) 536-7519

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X4301108856 (MI)
Family Medicine Physician 207Q00000X36066 (AZ)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

5 other providers at this address

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About NPI 1720176290

Melissa Kathy Koekkoek, MD's National Provider Identifier is 1720176290, issued on Oct 10, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Muskegon, MI. The record was last updated on Dec 20, 2022.