Individual
SUSAN MARIE KNAFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4299 LAKE ST, POB 85, BRIDGMAN, MI 49106-9109
(269) 465-6221
Mailing address
311 N MADISON ST, MARSHALL, MI 49068-1144
(269) 781-3128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001850
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2008
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