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1184991713
SHANNON KONIECZKI
DETROIT, MI
NPI
1184991713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704261113)
Enumeration Date
2011-11-28
Last Update Date
2013-03-27
Business Address
-- SHANNON KONIECZKI RN, MSN, CPNP
3901 BEAUBIEN ST. CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201-2119
Phone number: 313-993-2950
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Mailing Address
-- SHANNON KONIECZKI RN, MSN, CPNP
4201 ST. ANTIONE UHC 5D UNIVERDITY PEDIATRICIANS
DETROIT, MI 48201-2119
Phone number: 313-966-5051
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