Individual
MICHELE LYNN KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E NAVARRE ST, SUITE 5500, SOUTH BEND, IN 46601
(574) 647-5200
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016513A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300112820
—
IN
Enumeration date
04/25/2025
Last updated
06/19/2025
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