Individual
DR. JOHN GERARD KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
535 SOUTH MONROE AVENUE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Mailing address
535 SOUTH MONROE AVENUE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2308
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053309
AMERICAN OPTOMET ASSOC
WI
05
—
38581000
—
WI
Enumeration date
01/25/2006
Last updated
03/07/2023
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