Individual
ELON KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11885 E 12 MILE RD STE 100A, WARREN, MI 48093-3465
(586) 576-1615
(586) 576-1629
Mailing address
25206 PRAIRIE DR, SOUTHFIELD, MI 48075-2075
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301096937
MI
Other
Enumeration date
04/08/2010
Last updated
12/03/2020
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