Individual
MICHAEL PAUL KONIARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2570 SOM CENTER RD, WH 10 / INTERNAL MEDICINE/PEDIATRICS, WILLOUGHBY HILLS, OH 44094-9607
(440) 943-2500
Mailing address
2570 SOM CENTER RD, WH 10 / INTERNAL MEDICINE/PEDIATRICS, WILLOUGHBY HILLS, OH 44094-9607
(440) 943-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.097075
OH
208000000X
Pediatrics Physician
35.097075
OH
Other
Enumeration date
07/24/2007
Last updated
12/08/2011
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