Individual
DR. BROOKE AUTUMN KONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
714 LINCOLN ST NE, LE MARS, IA 51031-3314
(712) 546-3492
Mailing address
714 LINCOLN ST NE, LE MARS, IA 51031-3314
(712) 546-3492
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125070534
IL
208600000X
Surgery Physician
Primary
49932
IA
Other
Enumeration date
06/13/2017
Last updated
07/05/2022
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