Individual
DR. ANDREW THOMAS KONICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3801 SPRING STREET, RACINE, WI 53403-1010
(262) 687-4011
Mailing address
9874 W PRAIRIE GRASS WAY, FRANKLIN, WI 53132-7201
(847) 404-7853
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
64321-21
WI
Other
Enumeration date
06/22/2010
Last updated
07/02/2015
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