Individual
DR. THOMAS FRITZ KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 E MAIN ST, RADFORD, VA 24142-0001
(540) 831-5111
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201867
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010280745
—
VA
05
—
010280770
—
VA
Enumeration date
06/23/2006
Last updated
11/28/2025
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