Doctor Name: | ELISE KNUEVEN |
NPI Number: | 1205257243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 500 E Main St Columbus, OH - 432155369 |
Business Phone Number: | 6143556300 |
Business Fax Number: | 6143556310 |
Mailing Address: | Dept 781625, DETROIT |
State: | MI |
Postal Code: | 482781625 |
Phone Number: | 6143558004 |
Fax Number: | 6143552220 |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |