Individual
MRS. ANDREA E KNAPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1165 S KNOXVILLE AVE STE 100, SAINT MARYS, OH 45885-2622
(419) 394-3331
Mailing address
1050 EAST GREENVILLE RD, SAINT MARYS, OH 45885-2622
(419) 394-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002634
OH
363AS0400X
Surgical Physician Assistant
085003591
IL
363AS0400X
Surgical Physician Assistant
50.002634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091238
—
OH
Enumeration date
08/13/2007
Last updated
02/20/2023
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