Provider Demographics
NPI:1326404856
Name:KNEE INSTITUTE
Entity Type:Organization
Organization Name:KNEE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:ABRAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-862-2551
Mailing Address - Street 1:6016 WEST MAPLE ROAD
Mailing Address - Street 2:SUITE 705
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2532
Mailing Address - Country:US
Mailing Address - Phone:248-862-2551
Mailing Address - Fax:
Practice Address - Street 1:6016 W MAPLE RD
Practice Address - Street 2:SUITE 705
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4411
Practice Address - Country:US
Practice Address - Phone:248-862-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare UPIN