Individual
WAYNE K KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
128 LUBRONO DR, SUITE 102, ANNAPOLIS, MD 21401-7028
(410) 535-0620
(410) 535-0802
Mailing address
128 LUBRONO DR, ANNAPOLIS, MD 21401-7028
(410) 535-0620
(410) 535-0802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01252
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
01252
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017203101
—
MD
Enumeration date
09/14/2005
Last updated
11/13/2008
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