Individual
MELISSA KONOPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
26069 KING RD, BROWNSTOWN, MI 48174-9412
(586) 557-7908
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704259561
MI
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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