Individual
DR. HENRY JOSEPH KONZELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 STE GENEVIEVE DR, STE GENEVIEVE, MO 63670-1434
(573) 883-4438
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(217) 827-3114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036095900
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2013002805
MO
207Q00000X
Family Medicine Physician
01069387A
IN
207Q00000X
Family Medicine Physician
036095900
IL
207Q00000X
Family Medicine Physician
2013002805
MO
207Q00000X
Family Medicine Physician
P6438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360900
—
IL
01
—
036095900
LICENSE #
IL
Enumeration date
09/09/2005
Last updated
03/23/2023
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