NPI 1205266491

Thomas Knuth MD PA

Organisation Specialist Detroit, MI

Practice location

Address: 22101 Moross Rd Prof Bld 1 Suite 332, Detroit, MI 48236-2148
Phone: (586) 552-5333
Fax: (586) 552-5326
Mailing address: PO Box 806403, Saint Clair Shores, MI 48080-6403

Authorised official

Name: Kathy a Viviano
Title: Manager
Phone: (585) 552-5333

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4301089707 (MI)

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Registry record

NPI: 1205266491
Entity type: Organization
NPI issued: 25 Nov 2013
Record last updated: 3 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.