Individual
BARBARA L KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(553) 589-2491
Mailing address
PO BOX 1655, DUBUQUE, IA 52004-1655
(563) 556-6895
(563) 556-3618
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
104004
MN
2085R0202X
Diagnostic Radiology Physician
Primary
36035
WI
2085R0202X
Diagnostic Radiology Physician
38016
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300118636
RAILROAD MEDICARE
WI
05
—
32112000
—
WI
01
—
391128616IK
JOHN DEERE HEALTH PLAN
WI
01
—
8697
DEAN HEALTH INSURANCE
WI
Enumeration date
06/18/2006
Last updated
08/02/2016
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