Individual
FRIEDRICH D KNOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD430309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F 5713
2113
CA
01
—
MD430309
STATE MEDICAL LICENSE
PA
Enumeration date
02/06/2007
Last updated
10/11/2018
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