KENNETH JOHN DZIUBA M.D.
NPI 1891775938
Internal Medicine in Saint Clair Shores, MI

Active since January 17, 2006
24400 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080(586) 778-1881(586) 778-0667 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth John Dziuba M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JOHN DZIUBA M.D. (NPI 1891775938) is an individual internal medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (KD039122) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1891775938
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH JOHN DZIUBACredential: M.D.
Location Address24400 GREATER MACK AVESaint Clair Shores, MI 48080-1340
Mailing Address24400 Greater Mack AveSaint Clair Shores, MI 48080-1340 · (586) 778-1881 · Fax (586) 778-0667
Fax(586) 778-0667
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateNovember 11, 2016
NPI 1891775938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · KD039122
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License KD039122 (MI)
24400 GREATER MACK AVE, Saint Clair Shores, MI 48080

Other Identifiers 5

Medicare PINP59280001MI
Medicare UPINA74419MI
Medicare PIN0505614MI
Medicaid4157965MI
Medicare PIN110064510MI

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Legal Medicine
24400 GREATER MACK AVE
ST CLAIR SHORES, MI 48080
Internal Medicine
24400 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Physician Assistant
24400 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Physician Assistant (Medical)
24400 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Internal Medicine
24400 GREATER MACK AVE
ST CLAIR SHORES, MI 48080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dziuba's NPI number?

The NPI number for Kenneth Dziuba is 1891775938. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Kenneth Dziuba located?

Kenneth Dziuba practices at 24400 Greater Mack Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 778-1881.

What is Kenneth Dziuba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Dziuba was last updated on November 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.