Individual
MICHAEL JOHN KNABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12831 N PORT WASHINGTON RD, MEQUON, WI 53097-2400
(262) 643-1300
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
(843) 792-3121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125.075232
IL
207N00000X
Dermatology Physician
Primary
82136
WI
207ND0900X
Dermatopathology Physician
82136
WI
207ND0900X
Dermatopathology Physician
MMD.87404
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
03/06/2024
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