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Individual
DR. THOMAS WILLIAM KONOWALCHUK
Active
Individual
DR. THOMAS WILLIAM KONOWALCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, JD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
15049
OR
208D00000X
General Practice Physician
Primary
15049
OR
Other
Enumeration date
09/27/2011
Last updated
07/23/2020
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