Individual
BRIAN J. KNABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-3212
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55292
WI
207Q00000X
Family Medicine Physician
036092236
IL
207Q00000X
Family Medicine Physician
55292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092236
—
IL
05
—
APPR
—
WI
Enumeration date
06/14/2006
Last updated
11/17/2022
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