Individual
STEVEN RICHARD KNOBLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
N65W25055 MAIN ST, SUSSEX, WI 53089-2671
(262) 820-0750
Mailing address
N65W25055 MAIN ST, SUSSEX, WI 53089-2671
(262) 820-0750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14875-040
WI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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