Individual
KELSEY L KNAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5000
(231) 346-6017
Mailing address
PO BOX 27127, LANSING, MI 48909-7127
(231) 346-6800
(231) 346-6017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101016873
MI
Other
Enumeration date
07/02/2006
Last updated
08/01/2016
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