Individual
MR. STEVEN DAVID KNOBLOCK
Active
Individual
MR. STEVEN DAVID KNOBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3401179
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
3398916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3398916
NURSE ANESTHETIST SPECIALTY CERTIFICATION
MI
Enumeration date
08/13/2013
Last updated
08/13/2013
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