Individual
DR. DANIEL E KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 W CHICAGO RD STE 2, COLDWATER, MI 49036-8400
(517) 924-1444
(517) 924-1445
Mailing address
4593 N CAMROSE CT SW, WYOMING, MI 49519-4977
(616) 261-0948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301085470
MI
207Q00000X
Family Medicine Physician
Primary
4301085470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144367129
—
MI
01
—
P51800023
PTAN
MI
Enumeration date
01/31/2007
Last updated
08/12/2020
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