Individual
DR. DAVID CHESTER KORONKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1824 DORCHESTER CT, GOSHEN, IN 46526-6476
(574) 534-2548
(574) 534-3622
Mailing address
1824 DORCHESTER CT, GOSHEN, IN 46526-6476
(574) 534-2548
(574) 534-3622
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114330A
—
IN
Enumeration date
06/01/2006
Last updated
05/03/2023
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