Provider Demographics
NPI:1851492250
Name:KNOBLAUCH, CHRISTINE MARTHA (RN MSN NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARTHA
Last Name:KNOBLAUCH
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Gender:F
Credentials:RN MSN NP
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Mailing Address - Street 1:1349 S ROCHESTER RD
Mailing Address - Street 2:SUITE # 215
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-3150
Mailing Address - Country:US
Mailing Address - Phone:248-652-3300
Mailing Address - Fax:248-652-3175
Practice Address - Street 1:1349 S ROCHESTER RD
Practice Address - Street 2:SUITE # 215
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-3150
Practice Address - Country:US
Practice Address - Phone:248-652-3300
Practice Address - Fax:248-652-3175
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704156774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily