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Individual

DR. MARK P KONIUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44199 DEQUINDRE RD, STE 250, TROY, MI 48085
(248) 879-8441
(248) 879-6841
Mailing address
44199 DEQUINDRE RD, STE 250, TROY, MI 48085
(248) 879-8441
(248) 879-6841

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301040857
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
383300551
MI
Enumeration date
11/14/2005
Last updated
07/12/2013
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