Koniuch, Mark P
Koniuch, Mark P is an sole proprietor health care provider with primary practice located at 44199 Dequindre Rd Ste 250, Troy MI 48085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Koniuch, Mark P can be contacted via phone (248) 879-8441.Contact Information
Primary practice address
44199 Dequindre Rd Ste 250
Troy MI 48085
Phone: (248) 879-8441
Fax: (248) 879-6841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 4301040857 | Michigan |
Profile Details
| NPI number | 1902888233 |
|---|---|
| LBN Legal business name | Koniuch, Mark P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 12th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902888233 | NPPES |
| Michigan | MEDICAID | 383300551 |
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