Individual
DR. GREGORY PAUL KNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9318 AIRPORT DR, FORT WAYNE, IN 46809-3047
(260) 373-9330
(260) 373-9340
Mailing address
3103 E STATE BLVD, FORT WAYNE, IN 46805-4738
(260) 373-9300
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
02001648
IN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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