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Individual

JAMES ALISTER KNAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
15855 NINETEEN MILE RD, CLINTON TOWNSHIP, MI 48038
(586) 263-2601
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150
(734) 632-0175
(734) 632-0182

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003879
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11712536
CAQH
MI
Enumeration date
05/17/2006
Last updated
11/16/2012
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