Individual
MICHAEL KNESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9445 CALUMET AVE, MUNSTER, IN 46321-2811
(219) 836-1060
(219) 836-1014
Mailing address
9445 CALUMET AVE, MUNSTER, IN 46321-2811
(219) 836-1060
(219) 756-6500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01075358B
IN
207X00000X
Orthopaedic Surgery Physician
Primary
201328430
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
201328430
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336376367
NPI
—
05
—
201328430
—
IN
Enumeration date
06/17/2009
Last updated
06/10/2021
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