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Individual

HOLLY M KNODERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
01063505
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200862280
IN
Enumeration date
04/25/2007
Last updated
02/18/2011
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