Individual
DR. RYAN M KONOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(626) 437-9007
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2013-00776
NC
207L00000X
Anesthesiology Physician
Primary
A116417
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2009
Last updated
01/23/2018
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