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Individual

DR. LOUIS KNOBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Mailing address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039178A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082089
ANTHEM BC/BS
IN
05
100323130A
IN
01
1487
PHP
IN
Enumeration date
07/01/2005
Last updated
05/06/2014
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