Jordan Knepper, MD
in East Lansing, MI. Individual provider (NPI-1).
NPI number1760610885
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1760610885
- Entity type
- Individual (NPI-1)
- Name
- Jordan Knepper
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2009
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 4301094187 | MI | Yes |
Practice location
4660 S Hagadorn Rd Ste 600East Lansing, MI 48823-5383
Phone 517-267-2460 · Fax 517-884-8602
Mailing address
804 Service Rd Ste A109bEast Lansing, MI 48824-7015
Phone 517-267-2460 · Fax 517-884-8602
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