Organization
MICHAEL KONIUCH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KONIUCH MD (SOLE MEMBER)
(248) 444-6752
Entity
Organization
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 565-6500
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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