Dr. Wayne Harry Konetzki
Internist - Allergy & Immunology
403 N Grand Ave
Waukesha
, Wisconsin 53186-4913
Dr. Wayne Harry Konetzki
Internist - Allergy & Immunology
403 N Grand Ave
Waukesha
, Wisconsin 53186-4913
(262) 547-2129
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Wayne Harry Konetzki
- 403 N Grand Ave
- Waukesha, WI
- Zip : 53186-4913
- Fax : (262) 547-2129
- Phone : (262) 547-3055
Second Address
- Dr. Wayne Harry Konetzki
- 403 N Grand Ave
- Waukesha, WI
- Zip : 53186-4913
- Fax : (262) 547-2129
- Phone : (262) 547-3055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 14469 | WI |
National Provider Identifier
| NPI | 1285800367 |
|---|---|
| Provider Name | Dr. Wayne Harry Konetzki |
| First Address | Waukesha, WI 53186-4913 |
| Second Address | Waukesha, WI 53186-4913 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2008 |
| Last Update Date | 07/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001-68805 | MEDICARE NUMBER (01) | WI |
| B54265 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.