Provider Information for 1629273560
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CHRISTOPHER M KNACK L.P.C.
Sex: Male
NPI: 1629273560
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1629273560 | ||||||||
| Enumeration Date | 2007-06-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 177 N BARLOW RD HARRISVILLE, MI 48740-9607 United States Phone: 989-736-8716 | Fax:989-736-3829 | ||||||||
| Primary Practice Address | 177 N BARLOW RD HARRISVILLE, MI 48740-9607 United States Phone: 989-736-8716 | Fax:989-736-3829 | ||||||||
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