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Organization
KENNETH DZIUBA MD PC
Active
Organization
KENNETH DZIUBA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DZIUBA M.D. (PRESIDENT)
(586) 773-7780
Entity
Organization
Contact information
Practice address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
(586) 773-7780
(586) 774-9656
Mailing address
21331 KELLY RD, EASTPOINTE, MI 48021-3265
(586) 773-7780
(586) 774-9656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43010039122
MI
Other
Enumeration date
06/16/2008
Last updated
03/10/2009
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