SearchIndiana208600000X

Justin Koenig, DO

NPI 1821314360 · on the registry since 2010

Practice

Address
621 Memorial Dr Ste 502
South Bend, IN 46601
Phone
(574) 647-5875
Fax
(574) 647-5878
Organisation at this address
Healthlinc, Inc
David L. Clayton Md Inc
Otorhinolaryngology, Inc
Beacon Medical Group, Inc.
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Additional practice sites

  • 500 Arcade Ave Ste 320, Elkhart, IN
  • 1020 High Rd, Bremen, IN

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana