Individual
DR. KENNETH HARRY MARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
102 S 3RD ST, STE 200, CARSON CITY, MI 48811-5115
(989) 584-0932
(989) 584-0918
Mailing address
102 S 3RD ST, STE 200, CARSON CITY, MI 48811-5115
(989) 584-0932
(989) 584-0918
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5101007662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454111024
BCBSM
MI
05
—
1642877
—
MI
Enumeration date
05/03/2006
Last updated
03/20/2016
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