Search › Michigan › 207R00000X
Kenneth Dziuba, M.D
NPI 1891775938 · on the registry since 2006 · sole proprietor
Practice
- Address
- 24400 Greater Mack Ave
Saint Clair Shores, MI 48080 - Phone
- (586) 778-1881
- Fax
- (586) 778-0667
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RG0300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan