Kenneth Dziuba Md Pc

LBN: Kenneth Dziuba Md Pc
Kenneth Dziuba Md Pc is an health care organization with primary practice located at 21331 Kelly Rd , Eastpointe MI 48021-3265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kenneth Dziuba Md Pc can be contacted via phone (586) 773-7780, or through Dziuba, Kenneth via phone (586) 773-7780.

Contact Information

Primary practice address
21331 Kelly Rd Eastpointe MI 48021-3265
Phone: (586) 773-7780
Fax: (586) 774-9656
Website:
Map and Directions
Authorized official contact:
Name: Dziuba, Kenneth Doctor of Medicine (MD)
Phone: (586) 773-7780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43010039122 Michigan

Profile Details

NPI number 1891955597
LBN Legal business name Kenneth Dziuba Md Pc
DBA Doing business as
Authorized official Dziuba, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Mar 10th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891955597 NPPES
Michigan MEDICAID 4157965

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