Individual
DAVID ANDREW KNESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, STE 401, SOUTHFIELD, MI 48075-6212
(866) 974-2673
(866) 939-2673
Mailing address
26850 PROVIDENCE PKWY STE 260, NOVI, MI 48374-1256
(248) 465-5140
(248) 465-5141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101017675
MI
207X00000X
Orthopaedic Surgery Physician
Primary
5101017675
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
5101017675
MI
Other
Enumeration date
05/29/2008
Last updated
04/23/2019
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