Organization
KNIESER MEDICAL GROUP, LLC
Active
Organization
KNIESER MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIAL R KNIESER MD (MD/ OWNER)
(317) 288-0370
Entity
Organization
Contact information
Practice address
16267 OAKFORD TRL, FISHERS, IN 46037-7391
(317) 288-0370
(317) 863-1028
Mailing address
P.O. BOX 178, 7399 NORTH SHADELAND AVE, INDIANAPOLIS, IN 46250-2052
(317) 288-0370
(317) 863-1028
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0102828A
IN
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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