Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 10221 | SD |
N | 207RC0000X | Internist - Cardiovascular Disease | 55684 | MN |
NPI | 1215166921 |
---|---|
Provider Name | Ewa A Konik |
First Address | Sioux Falls, SD 57108 |
Second Address | Sioux Falls, SD 57108-8148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 24/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | MN |