Kevin Konzen MD

NPI 1033102702 - Internal Medicine - 207R00000X

NPI Details
NPI 1033102702
Gender Male
Enumeration Date 08/26/2005
Last Updated 08/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2044 MADISON AVE
SUITE 15
GRANITE CITY IL, 62040-4641, US
Phone (618) 451-1500
Fax
Business Location
2044 MADISON AVE
SUITE 15
GRANITE CITY IL, 62040-4641, US
Phone (618) 451-1500
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036075260
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According to our database, Kevin Konzen MD NPI is 1033102702, taxonomy code is 207R00000X and license number is 036075260, license state is located at Illinois. Kevin Konzen MD physically located at 2044 Madison Ave, Granite City IL, 62040-4641. NPI Number Kevin Konzen MD has the Individual type.

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1033102702 NPI number is provided on an as is basis without warranty of any kind. 1033102702 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Konzen MD are for informational purposes only.