Individual
THOMAS KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3057
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18410
ND
208600000X
Surgery Physician
Primary
4301089707
MI
2086S0127X
Trauma Surgery Physician
036098816
IL
Other
Enumeration date
07/12/2006
Last updated
08/15/2024
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