Individual
MR. WILLIAM JACKSON KNOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2301 HIGHWAY 71, SPIRIT LAKE, IA 51360-1185
(712) 336-1230
Mailing address
2301 HIGHWAY 71, SPIRIT LAKE, IA 51360-1185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A157007
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
Enumeration date
05/12/2020
Last updated
05/12/2020
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