Individual provider · Type 1 NPI

Nicole Rose Knisley, PA-C

Medical Physician Assistant · Canton, MI

NPI number 1194011320 Active

Practice location

1600 S Canton Center Rd, #140
Canton, MI 48188-1992

Fax (734) 398-7566

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006025 (MI)

Medical Physician Assistant: Definition to come...

40 other providers at this address

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About NPI 1194011320

Nicole Rose Knisley, PA-C's National Provider Identifier is 1194011320, issued on Jun 27, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Canton, MI. The record was last updated on Jul 28, 2014.