Individual
MR. STEVEN DAVID KNOBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
134 N VERMONT AVE, ROYAL OAK, MI 48067-2018
(248) 770-8748
Mailing address
134 N VERMONT AVE, ROYAL OAK, MI 48067-2018
(248) 770-8748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3401179
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
3398916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3398916
NURSE ANESTHETIST SPECIALTY CERTIFICATION
MI
Enumeration date
08/13/2013
Last updated
08/13/2013
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