Virgil Ernest Knackstedt M.D.

NPI 1083605307 - Specialist - 174400000X

NPI Details
NPI 1083605307
Gender Male
Enumeration Date 11/04/2005
Last Updated 09/11/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3417 ENSIGN RD NE
OLYMPIA WA, 98506-5064, US
Phone (360) 493-4601
Fax (360) 493-4603
Business Location
3417 ENSIGN RD NE
OLYMPIA WA, 98506-5064, US
Phone (360) 493-4601
Fax (360) 493-4603
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MD00019853
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According to our database, Dr. Virgil Ernest Knackstedt M.D. NPI is 1083605307, taxonomy code is 174400000X and license number is MD00019853, license state is located at Washington. Virgil Ernest Knackstedt M.D. physically located at 3417 Ensign Rd Ne, Olympia WA, 98506-5064. NPI Number Virgil Ernest Knackstedt M.D. has the Individual type.

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1083605307 NPI number is provided on an as is basis without warranty of any kind. 1083605307 is maintained by the National Plan & Provider Enumeration System. The contents of Virgil Ernest Knackstedt M.D. are for informational purposes only.