Individual
MICHAELA KNIESOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9059 W LAKE PLEASANT PKWY, #E-540, PEORIA, AZ 85382-8336
(623) 322-3380
(623) 322-4399
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3538
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545558
—
AZ
Enumeration date
02/11/2009
Last updated
09/22/2011
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