Individual
MR. GEORGE A KNOEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1103 PINE ST, MOSINEE, WI 54455
(715) 693-3255
(715) 693-1466
Mailing address
1103 PINE ST, MOSINEE, WI 54455
(715) 693-3255
(715) 693-1466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001469
WI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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