IndividualActive
Andrew Konicek, D.O.
NPI 1073824207 · Emergency Medicine Physician · Racine, WI
Provider details
- NPI number
- 1073824207
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 64321-21 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3801 Spring Street
Racine, WI 53403-1010
Phone: (262) 687-4011
Approximate (ZIP-level) locationGet directions
Mailing address
9874 W Prairie Grass Way
Franklin, WI 53132-7201
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.