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Individual

DR. PETER JENS KNEUERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-9059
(614) 293-0201
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9059
(614) 293-0201

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35131066
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230782
OH
Enumeration date
03/23/2010
Last updated
03/10/2021
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