Search › North Dakota › 208D00000X
Ezra Koch, MD
NPI 1861016024 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4108 39th Ave Nw
Mandan, ND 58554 - Phone
- (701) 426-4291
- Organisation at this address
- Sickbay Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-01
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 North Dakota