Individual
DR. THOMAS MICHAEL KONNERSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22131 HAUPT STRASSE, OLDENBURG, IN 47036-0188
(812) 933-0368
(812) 934-2845
Mailing address
PO BOX 188, OLDENBURG, IN 47036-0188
(812) 933-0368
(812) 934-2845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007760A
IN
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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