Individual
MS. KRISTINA KNECHTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W 14 MILE RD, CLAWSON, MI 48017-3100
(248) 655-1400
Mailing address
555 W 14 MILE RD, CLAWSON, MI 48017-3100
(248) 655-1400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704343032
MI
Other
Enumeration date
02/03/2021
Last updated
09/08/2024
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