Individual
ANETRA KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
Mailing address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
208000000X
Pediatrics Physician
Primary
4351050301
MI
Other
Enumeration date
10/26/2021
Last updated
10/12/2025
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