Basic Information
Provider Information
NPI: 1679791818
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOEHNE
FirstName: GUENTHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9350 SUNSET DR STE 200
Address2:  
City: MIAMI
State: FL
PostalCode: 331733245
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber:  
Practice Location
Address1: 8900 N. KENDALL DR
Address2: MIAMI CANCER INSTITUTE
City: MIAMI
State: FL
PostalCode: 331762118
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber: 3052797778
Other Information
ProviderEnumerationDate: 04/23/2007
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X241928NYN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RX0202XME133940FLY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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