Individual
JILL KNECHTEL SANVORDENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39901 TRADITIONS DR, NORTHVILLE, MI 48168-9493
(248) 305-4400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704131164
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704131164
MI
Other
Enumeration date
07/27/2010
Last updated
09/22/2020
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