Individual
DR. MARC DOUGLAS KNEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 NE GLEN OAK AVE, SUITE 301, PEORIA, IL 61603-3105
(309) 655-3456
(309) 655-3410
Mailing address
420 NE GLEN OAK AVE, SUITE 301, PEORIA, IL 61603-3105
(309) 655-3453
(309) 655-3410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083662
MI
208000000X
Pediatrics Physician
4301083662
MI
2080P0202X
Pediatric Cardiology Physician
Primary
036-129846
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301083662
MI
Other
Enumeration date
04/12/2007
Last updated
11/11/2022
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