Individual
JOHN L KNIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9410 CALUMET AVE STE 401, MUNSTER, IN 46321-0018
(219) 922-4900
(219) 836-9922
Mailing address
9410 CALUMET AVE STE 401, MUNSTER, IN 46321-0018
(219) 922-4900
(219) 836-9922
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02000771
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354640A
—
IN
01
—
211956
MEDICARE PTAN
IL
01
—
628340
MEDICARE PTAN
IN
Enumeration date
09/21/2006
Last updated
08/13/2024
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