Individual
JASON E KNUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036133088
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
44933
WI
208D00000X
General Practice Physician
44933
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34583000
—
WI
Enumeration date
02/28/2006
Last updated
10/08/2013
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