Individual
MICHAEL KNIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
3103 E STATE BLVD, FORT WAYNE, IN 46805-4738
(260) 373-9300
Mailing address
4512 SANDIA RUN, FORT WAYNE, IN 46845-9075
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
01071188A
IN
Other
Enumeration date
10/17/2007
Last updated
07/08/2014
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