Provider Demographics
NPI:1922599562
Name:KNAPPER, CHELSEY LAURENE (DO)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LAURENE
Last Name:KNAPPER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4402
Mailing Address - Country:US
Mailing Address - Phone:248-497-0430
Mailing Address - Fax:
Practice Address - Street 1:27450 SCHOENHERR RD STE 200
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6685
Practice Address - Country:US
Practice Address - Phone:586-582-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program