Individual
DR. MARK RAYMOND KNABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DELHI ST, STE 4100, DUBUQUE, IA 52001-6358
(563) 557-5900
(563) 557-5905
Mailing address
1500 DELHI ST STE 4100, DUBUQUE, IA 52001-6362
(563) 557-5900
(563) 557-5905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22086
IA
207N00000X
Dermatology Physician
24706-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263558
—
IA
01
—
13070
DEAN HEALTHCARE
IA
01
—
1598732489
NPI
IA
01
—
386682104
ILLINOIS PUBLIC AID
IA
01
—
421462387
MISCELLANEOUS INSURANCE
IA
01
—
55736
WELLMARK BCBS NUMBER
IA
01
—
IA0107
JOHN DEERE HEALTHCARE
IA
Enumeration date
03/01/2006
Last updated
12/12/2012
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