Individual
MR. GREGORY R KONING
Active
Individual
MR. GREGORY R KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704137157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101874085
—
MI
01
—
1235131137
BCBSM
MI
01
—
4704137157
MICHIGAN LICENSE
MI
Enumeration date
04/13/2007
Last updated
09/25/2014
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