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Individual
DR. ALEXANDER CULLISON KNOBLOCH
Active
Individual
DR. ALEXANDER CULLISON KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., CAQSM, FAAFP
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
01076109A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01076109A
IN
Other
Enumeration date
06/30/2014
Last updated
01/09/2026
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