Walter Knoll DO

NPI 1013993062 - Anesthesiology - 207LP2900X

NPI Details
NPI 1013993062
Gender Male
Enumeration Date 12/21/2005
Last Updated 10/23/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1505 EASTLAND DR
LL 1400
BLOOMINGTON IL, 61701-3534, US
Phone (309) 663-4700
Fax (309) 665-0575
Business Location
1505 EASTLAND DR
LL 1400
BLOOMINGTON IL, 61701-3534, US
Phone (309) 663-4700
Fax (309) 665-0575
Toxanomy
Taxonomy Code 207LP2900X
License State Illinois
License Number 036088482
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According to our database, Dr. Walter Knoll DO NPI is 1013993062, taxonomy code is 207LP2900X and license number is 036088482, license state is located at Illinois. Walter Knoll DO physically located at 1505 Eastland Dr, Bloomington IL, 61701-3534. NPI Number Walter Knoll DO has the Individual type.

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1013993062 NPI number is provided on an as is basis without warranty of any kind. 1013993062 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Knoll DO are for informational purposes only.