Individual
JOHN J KNOEDLER
Active
Individual
JOHN J KNOEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
53058
MN
208800000X
Urology Physician
Primary
MD462245
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00977683
RAILROAD MEDICARE
MN
Enumeration date
07/27/2009
Last updated
07/21/2022
Update your record
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