Thomas Knuth Md Pa

NPI 1205266491 - Specialist - 174400000X

NPI Details
NPI 1205266491
Enumeration Date 11/25/2013
Last Updated 01/03/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KATHY A KATHY
Position MANAGER
Phone (586) 552-5333
Fax (586) 552-5326
Practice Location
22101 MOROSS RD
PROF BLD 1 SUITE 332
DETROIT MI, 48236-2148, US
Phone (586) 552-5333
Fax (586) 552-5326
Business Location
PO BOX 806403
SAINT CLAIR SHORES MI, 48080-6403, US
Phone (586) 552-5333
Fax (586) 552-5326
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301089707
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According to our database, Thomas Knuth Md Pa NPI is 1205266491, taxonomy code is 174400000X and license number is 4301089707, license state is located at Michigan. Thomas Knuth Md Pa physically located at 22101 Moross Rd, Detroit MI, 48236-2148. NPI Number 1033115704 has the healthcare provider type.

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1205266491 NPI number is provided on an as is basis without warranty of any kind. 1205266491 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Knuth Md Pa are for informational purposes only.