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1205865177
KELSEY L KNAACK
TRAVERSE CITY, MI
NPI
1205865177
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Former Name
KELSEY L BANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101016873)
Enumeration Date
2006-07-02
Last Update Date
2016-08-01
Business Address
-- KELSEY L KNAACK DO
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2349
Phone number: 231-935-5000
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Mailing Address
-- KELSEY L KNAACK DO
PO BOX 27127
LANSING, MI 48909-7127
Phone number: 231-346-6800
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