| Doctor Name: | SUSAN MARIE KNAFEL |
| NPI Number: | 1942376348 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | 5601001850 |
| Business Practice Address: | 4299 Lake St Pob 85 Bridgman, MI - 491069109 |
| Business Phone Number: | 2694656221 |
| Business Fax Number: | |
| Mailing Address: | 311 N Madison St, MARSHALL |
| State: | MI |
| Postal Code: | 490681144 |
| Phone Number: | 2697813128 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601001850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |