Individual
JEREMY KONHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5333 MCAULEY DR RM 3001, YPSILANTI, MI 48197
(734) 712-8100
(734) 712-8111
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301115003
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2013
Last updated
07/05/2018
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