ANDREW THOMAS KONICEK

RACINE, WI
NPI1073824207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  64321-21)
Enumeration Date2010-06-22
Last Update Date2015-07-02
Business Address
DR. ANDREW THOMAS KONICEK D.O.
3801 SPRING STREET
RACINE, WI 53403-1010
Phone number: 262-687-4011
Mailing Address
DR. ANDREW THOMAS KONICEK D.O.
9874 W PRAIRIE GRASS WAY
FRANKLIN, WI 53132-7201
Phone number: 847-404-7853