NPI 1639368400

Michael Knipp, MDMS

Practitioner Occupational Medicine Physician Fort Wayne, IN

Practice location

Address: 3103 E State Blvd, Fort Wayne, IN 46805-4738
Phone: (260) 373-9300
Mailing address: 4512 Sandia Run, Fort Wayne, IN 46845-9075

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 01071188A (IN)

Other Preventive Medicine providers in Indiana →

Registry record

NPI: 1639368400
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2007
Record last updated: 8 Jul 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.