Individual provider · Type 1 NPI

Michael John Koenig, MD, PhD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1801474739 Active

Practice location

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 955-8893

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801474739

Michael John Koenig, MD, PhD's National Provider Identifier is 1801474739, issued on Mar 31, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on May 23, 2024.