Individual
ANTHONY THAYER KONJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28655 HOOVER RD, WARREN, MI 48093-4105
(586) 393-1330
(586) 393-1308
Mailing address
28655 HOOVER RD, WARREN, MI 48093-4105
(586) 393-1330
(586) 393-1308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101026440
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2018
Last updated
06/01/2023
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