Provider Demographics
NPI:1417985615
Name:KNAZIK, STEPHEN ROBERT (DO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ROBERT
Last Name:KNAZIK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3800 WOODWARD AVE
Mailing Address - Street 2:SUITE 702
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2061
Mailing Address - Country:US
Mailing Address - Phone:313-262-1303
Mailing Address - Fax:313-262-1238
Practice Address - Street 1:3901 BEAUBIEN EMERGENCY DEPT - MAIN BUILDING
Practice Address - Street 2:CHILDRENS HOSPITAL OF MI
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-5260
Practice Address - Fax:313-993-7166
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-07-18
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Provider Licenses
StateLicense IDTaxonomies
MI51010091432080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine