Individual
MR. MATTHEW RICHARD KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7999
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
005707
AZ
207R00000X
Internal Medicine Physician
Primary
5101017788
MI
208M00000X
Hospitalist Physician
005707
AZ
Other
Enumeration date
10/30/2008
Last updated
01/30/2026
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