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Individual

MR. DENNIS HAROLD KNELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1610 49TH AVE, WINONA, MN 55987-6137
(507) 313-9403
Mailing address
1610 49TH AVE, WINONA, MN 55987-6137

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-95029-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43272300
WI
Enumeration date
07/23/2006
Last updated
07/08/2007
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