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Individual

THOMAS E KNECHTGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6150 WEST LAYTON AVE, GREENFIELD, WI 53220
(414) 282-4100
(414) 282-4108
Mailing address
6150 WEST LAYTON AVE, GREENFIELD, WI 53220
(414) 282-4100
(414) 282-4108

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17707
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30170000
WI
Enumeration date
10/23/2006
Last updated
07/08/2007
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