Organization
MARK P KONIUCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P KONIUCH MD (PRESIDENT)
(248) 879-8441
Entity
Organization
Contact information
Practice address
44199 DEQUINDRE SUITE 250, TROY, MI 48085-1128
(248) 879-8441
(248) 879-6841
Mailing address
44199 DEQUINDRE SUITE 250, TROY, MI 48085-1128
(248) 879-8441
(248) 879-6841
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MK040857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288120 10
—
MI
Enumeration date
08/31/2006
Last updated
06/17/2013
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