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NPI Code Detail

MEDICARE: CUTTER JAMES KOEHLER MD

MEDICARE: CUTTER JAMES KOEHLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01096097AIN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1558940213
Entity Type Code : Individual
Provider Name (Legal Business Name) : CUTTER JAMES KOEHLER MD
Provider Business Mailing Address
First Line : 618 VERNON PL
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-8110
Country : US
Telephone Number : 126-057-1792
Fax Number :
Provider Business Practice Location Address
First Line : 745 W MOANA LN STE 300
Second Line :
City : RENO
State : NV
Zip : 89509-4980
Country : US
Telephone Number : 260-571-7922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 12/22/2025

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