MEDICARE: MRS. VANESSA KONDZIOLKA NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704244257	MI

General Provider Information

NPI Number	:	1871735563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA KONDZIOLKA NP-C

Provider Business Mailing Address
First Line	:	16800 24 MILE RD
Second Line	:	SUITE 4
City	:	MACOMB
State	:	MI
Zip	:	48042-2990
Country	:	US
Telephone Number	:	586-992-9970
Fax Number	:	586-992-9972

Provider Business Practice Location Address
First Line	:	16800 24 MILE RD
Second Line	:	SUITE 4
City	:	MACOMB
State	:	MI
Zip	:	48042-2990
Country	:	US
Telephone Number	:	586-992-9970
Fax Number	:	586-992-9972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	03/27/2009

Similar Medicare Providers

1922098193 — DR. ALAN P PETER D.O.
Practice Location Address:

16800 24 MILE RD
MACOMB, MI
48042-2990

Practice Phone: 586-992-9970
Practice Fax: 586-992-9972

1427089341 — DR. MARK E SIKORSKI DO
Practice Location Address:

16800 24 MILE RD , SUITE 4
MACOMB, MI
48042-2990

Practice Phone: 586-786-1800
Practice Fax: 586-697-5386

1982311767 — COBBLESTONE RIDGE DENTISTRY
Practice Location Address:

16800 24 MILE RD STE 5
MACOMB, MI
48042-2990

Practice Phone: 586-781-2757
Practice Fax:

1023948023 — LEKAA MAROUKI
Practice Location Address:

19894 COMANCHE DR
MACOMB, MI
48042-6009

Practice Phone: 286-525-0619
Practice Fax:

1326978255 — MADELLYN MURPHY
Practice Location Address:

16137 LEONE DR
MACOMB, MI
48042-4063

Practice Phone: 586-566-0326
Practice Fax:

1063563476 — DR. YASSER MOHAMED HASSANE M.D.
Practice Location Address:

21840 23 MILE RD
MACOMB, MI
48042-4422

Practice Phone: 586-840-4916
Practice Fax: 586-591-5929

Directions to “ MRS. VANESSA KONDZIOLKA NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.