Individual
MICHAEL CHRISTOPHER KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036114536
IL
207P00000X
Emergency Medicine Physician
Primary
MD.204544
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114536
—
IL
05
—
05205550
—
MS
05
—
2168509
—
LA
Enumeration date
09/22/2006
Last updated
02/01/2012
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