Individual
GREGORY KONOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3402
(734) 384-3158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
10/16/2014
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