Matthew Richard Knisley D.O.

NPI 1417100777 - Family Medicine - 207Q00000X

NPI Details
NPI 1417100777
Gender Male
Enumeration Date 10/30/2008
Last Updated 09/02/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
14502 W MEEKER BLVD
SUN CITY WEST AZ, 85375-5282, US
Phone (623) 524-8814
Fax
Business Location
14502 W MEEKER BLVD
SUN CITY WEST AZ, 85375-5282, US
Phone (623) 524-8814
Fax (734) 747-8605
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101017788
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According to our database, Dr. Matthew Richard Knisley D.O. NPI is 1417100777, taxonomy code is 207Q00000X and license number is 5101017788, license state is located at Michigan. Matthew Richard Knisley D.O. physically located at 14502 W Meeker Blvd, Sun City West AZ, 85375-5282. NPI Number Matthew Richard Knisley D.O. has the Individual type.

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1417100777 NPI number is provided on an as is basis without warranty of any kind. 1417100777 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Richard Knisley D.O. are for informational purposes only.