Provider Demographics
NPI:1952501983
Name:KNIZLEY, ROBERT CLIFTON JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CLIFTON
Last Name:KNIZLEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:30575 BAINBRIDGE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2275
Mailing Address - Country:US
Mailing Address - Phone:440-542-5000
Mailing Address - Fax:440-542-5027
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3513
Practice Address - Country:US
Practice Address - Phone:251-545-4579
Practice Address - Fax:251-287-1466
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2020-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI602207R00000X
AL29469207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease