Individual
SOLOMON KNICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162
(734) 240-4435
Mailing address
3500 15 MILE RD, STERLING HEIGHTS, MI 48310-5353
(586) 977-6212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015716
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101015716
MI
Other
Enumeration date
07/22/2006
Last updated
10/24/2023
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