Individual
DR. KONRAD MICHAEL DZIAMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FIELDS DR, SANFORD, NC 27330-5066
(919) 777-9005
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101275460
VA
207RR0500X
Rheumatology Physician
0101275460
VA
207RR0500X
Rheumatology Physician
Primary
2023-03036
NC
207RR0500X
Rheumatology Physician
MD466766
PA
207RR0500X
Rheumatology Physician
TP276
KY
Other
Enumeration date
04/23/2014
Last updated
10/16/2023
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