Individual
DR. BRIAN SCOTT KNIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7836
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
4301083699
MI
2086S0129X
Vascular Surgery Physician
0101266756
VA
2086S0129X
Vascular Surgery Physician
Primary
4301083699
MI
Other
Enumeration date
03/29/2007
Last updated
08/06/2025
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