Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH JOHN DZIUBA, M.D.
Active Sole ProprietorKENNETH JOHN DZIUBA, M.D. is a Internal Medicine healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1891775938 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · SAINT CLAIR SHORES, MI
Registration Details
- NPI Number
- 1891775938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.587256568807 yrs)
- Last Updated
- Nov 11, 2016
- Licenses
-
KD039122 (MI)KD039122 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24400 GREATER MACK AVESAINT CLAIR SHORES, MI, 480801340Browse MI providers · Browse ZIP 48080
- Phone
- 5867781881
- Fax
- 5867780667
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in SAINT CLAIR SHORES, MI
| Name | Credential | NPI |
|---|---|---|
| MARIDEL AILEEN HERNANDEZ | DO | 1023013711 |
| DR. MARYBETH HARDWICKE | MD | 1144228586 |
| DR. PARVEEN N SIDDIQUI | MD | 1689672024 |
| MAYA ASHKENAZI | MD | 1376523233 |
| DR. DEMETRIOS MERMIGES | M.D. | 1063486736 |
| PENELOPE ANN BARKER | — | 1770552382 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.