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Individual

DAVID K KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
24455 GODDARD RD, TAYLOR, MI 48180-3933
(734) 946-8150
(734) 946-4849
Mailing address
1021 KARL GREIMEL DR, SUITE 99, BRIGHTON, MI 48116-9465
(810) 225-4589
(810) 220-2050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002533
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1158218090
BCBSM
MI
01
DK002533
BCBSM LICENSE
MI
Enumeration date
07/26/2006
Last updated
10/25/2016
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