Individual
DR. DANIEL W. KNOEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 CLIFTON AVE, SHEBOYGAN, WI 53083-5048
(920) 287-9969
Mailing address
424 CLIFTON AVE, SHEBOYGAN, WI 53083-5048
(920) 287-9969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31810500
—
WI
Enumeration date
07/26/2006
Last updated
05/20/2022
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