Konetzki, Wayne Harry

Konetzki, Wayne Harry is an sole proprietor health care provider with primary practice located at 403 N Grand Ave , Waukesha WI 53186-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Konetzki, Wayne Harry can be contacted via phone (262) 547-3055.

Contact Information

Primary practice address
403 N Grand Ave Waukesha WI 53186-4913
Phone: (262) 547-3055
Fax: (262) 547-2129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 14469 Wisconsin

Profile Details

NPI number 1285800367
LBN Legal business name Konetzki, Wayne Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285800367 NPPES
Wisconsin Other 0001-68805 MEDICARE NUMBER

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