Individual provider · Type 1 NPI

Justin Jacob Koenig, DO

Surgery Physician · South Bend, IN

NPI number 1821314360 Active

Practice location

621 Memorial Dr Ste 502
South Bend, IN 46601

Call (574) 647-5875 Map

Fax (574) 647-5878

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice locations

  • 500 Arcade Ave Ste 320, Elkhart, IN 46514-2477 · (574) 522-6565
  • 1020 High Rd, Bremen, IN 46506-1093 · (574) 309-9967

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X02005590A (IN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1821314360

Justin Jacob Koenig, DO's National Provider Identifier is 1821314360, issued on Apr 8, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in South Bend, IN. The record was last updated on Dec 1, 2025.