Individual
DR. MARK J KNEEPKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3968 N 68TH ST, MILWAUKEE, WI 53216-2012
(414) 463-5480
(414) 463-8003
Mailing address
3968 N 68TH ST, MILWAUKEE, WI 53216-2012
(414) 463-5480
(414) 463-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33419000
—
WI
Enumeration date
10/09/2007
Last updated
10/09/2007
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