Provider Demographics
NPI:1467688598
Name:KNORR, MARIE RODGERS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:RODGERS
Last Name:KNORR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:38935 ANN ARBOR RD
Mailing Address - Street 2:CREDENTIALING DEPT
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3397
Mailing Address - Country:US
Mailing Address - Phone:734-805-0488
Mailing Address - Fax:866-250-6385
Practice Address - Street 1:8260 ATLEE RD
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1844
Practice Address - Country:US
Practice Address - Phone:804-764-6300
Practice Address - Fax:804-764-6562
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2014-01-10
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Provider Licenses
StateLicense IDTaxonomies
VA010125601207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA12414583OtherCAQH