Individual
MARTIN STANLEY KNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD4034
DC
2085N0904X
Nuclear Radiology Physician
MD4034
DC
2085R0202X
Diagnostic Radiology Physician
MD4034
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026177900
—
DC
Enumeration date
11/13/2006
Last updated
09/19/2017
Update your record
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