Individual
THOMAS GANNON KNOEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-7540
Mailing address
1017 BROADWAY ST, NEW ORLEANS, LA 70118-5240
(612) 804-9893
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD481223
PA
Other
Enumeration date
04/23/2018
Last updated
08/26/2024
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