Individual
DR. WALLACE JOHN KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
212 E WYANDOT AVE, UPPER SANDUSKY, OH 43351-1432
(419) 294-2421
(419) 294-2499
Mailing address
PO BOX 540, UPPER SANDUSKY, OH 43351-0540
(419) 294-2421
(419) 294-2499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2913/T826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144114
—
OH
Enumeration date
11/16/2005
Last updated
04/22/2011
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