Michael Knipp M.D., M.S.

NPI 1639368400 - Preventive Medicine - 2083X0100X

NPI Details
NPI 1639368400
Gender Male
Enumeration Date 10/17/2007
Last Updated 07/08/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3103 E STATE BLVD
FORT WAYNE IN, 46805-4738, US
Phone (260) 373-9300
Fax
Business Location
4512 SANDIA RUN
FORT WAYNE IN, 46845-9075, US
Phone
Fax
Toxanomy
Taxonomy Code 2083X0100X
License State Indiana
License Number 01071188A
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According to our database, Michael Knipp M.D., M.S. NPI is 1639368400, taxonomy code is 2083X0100X and license number is 01071188A, license state is located at Indiana. Michael Knipp M.D., M.S. physically located at 3103 E State Blvd, Fort Wayne IN, 46805-4738. NPI Number Michael Knipp M.D., M.S. has the Individual type.

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1639368400 NPI number is provided on an as is basis without warranty of any kind. 1639368400 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Knipp M.D., M.S. are for informational purposes only.