MARK P KONIUCH MD PC
Medical Practice at Dequindre, Troy, MI

License number
Michigan MK040857
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: MARK P KONIUCH MD
Title: PRESIDENT
Phone: (248) 879-8441
Address
Address
44199 Dequindre Rd SUITE 250, Troy, MI 48085
National Provider ID: 1841301058
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK P. KONIUCH, M.D., PC

Troy, MI

Registration:
Aug 22, 1996
Addresses:
44199 Dequindre STE 250, Troy, MI 48085 (Physical)
Michigan (Mailing)
State ID:
414897
Business type:
Domestic Professional Service Corporation
Agent:
Mark Koniuch Md

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