Provider Demographics
NPI:1801885165
Name:KNECHTL, FRANK A (DO)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:KNECHTL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:43800 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1136
Mailing Address - Country:US
Mailing Address - Phone:800-848-0202
Mailing Address - Fax:586-226-6949
Practice Address - Street 1:7815 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-3704
Practice Address - Country:US
Practice Address - Phone:313-499-4926
Practice Address - Fax:313-499-4980
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI5101014248207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5315009300OtherCONTROLLED SUBSTANCE
MI4502299Medicaid
MI4502299Medicaid
5315009300OtherCONTROLLED SUBSTANCE
MI4502299Medicaid