Individual
CHRISTOPHER M KNIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 680, INDIANAPOLIS, IN 46202-1261
(317) 962-8857
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01072378A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01072378A
IN
207RP1001X
Pulmonary Disease Physician
01072378A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001273625
ANTHEM PTAN
IN
05
—
201103270
—
IN
01
—
Q00066840
RAILROAD PTAN
IN
Enumeration date
06/06/2011
Last updated
03/13/2025
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