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Individual

DR. DAVID A. KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD.

Contact information

Practice address
9555 76TH ST STE 1200, PLEASANT PRAIRIE, WI 53158-1984
(262) 671-7300
(262) 671-7315
Mailing address
6308 8TH AVENUE, ATTN: MEDICAL STAFF, KENOSHA, WI 53143-5031
(262) 656-3313
(262) 653-5850

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01064963A
IN
207RH0003X
Hematology & Oncology Physician
036113675
IL
207RH0003X
Hematology & Oncology Physician
Primary
55540
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598969644
WI
05
200910380
IN
Enumeration date
06/13/2007
Last updated
10/27/2017
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