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Individual

DAVID J KNESPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, 9TH FLOOR UNIVERSITY HOSPITAL RECP D, ANN ARBOR, MI 48109-5118
(734) 764-5348
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
4301034098
MI
2084P0800X
Psychiatry Physician
4301034098
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1262994
MI
Enumeration date
11/14/2006
Last updated
10/26/2010
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