THOMAS KNUTH MD PA NPI 1205266491

NPI Information

THOMAS KNUTH MD PA is a specialist in Detroit, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THOMAS KNUTH MD PA NPI is 1205266491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22101 MOROSS RD
PROF BLD 1 SUITE 332
DETROIT, MI
ZIP 48236-148
Phone: (586) 552-5333
Fax: (586) 552-5326

The provider's authorized official is Kathy A Viviano .
The authorized official title is Manager and has the following contact phone number (585) 552-5333.

The enumeration date for this NPI number is 11/25/2013 and was last updated on 1/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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