Individual
STUART J KNECHTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5105 WMB, 101 WOODRUFF CIRCLE, ATLANTA, GA 30322-0001
(404) 712-7944
(404) 727-3660
Mailing address
5105 WMB, 101 WOODRUFF CIRCLE, ATLANTA, GA 30322-0001
(404) 712-7944
(404) 727-3660
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
061110
GA
204F00000X
Transplant Surgery Physician
30135
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31646500
—
WI
Enumeration date
04/12/2006
Last updated
11/19/2014
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