Search › North Dakota › 363A00000X
Stacey Konzak, PA C
NPI 1962486969 · on the registry since 2005
Practice
- Address
- 2900 E Broadway Ave
Bismarck, ND 58501 - Phone
- (701) 221-9997
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- SD, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-18
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 North Dakota