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Individual
MS. STEPHANIE AYITA KNUPPENBURG
Active
Individual
MS. STEPHANIE AYITA KNUPPENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301105575
MI
207Q00000X
Family Medicine Physician
54346
AZ
207Q00000X
Family Medicine Physician
Primary
ME150156
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301105575
MI
Other
Enumeration date
06/18/2014
Last updated
08/09/2021
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