Individual
DR. PAUL ERIC KONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10701 EAST BLVD, 116A(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-7900
Mailing address
10701 EAST BLVD, 116A(W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.060048
OH
Other
Enumeration date
09/28/2006
Last updated
10/23/2012
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