Healthcare Provider Details

I. General information

NPI: 1225608615
Provider Name (Legal Business Name): ALEXIS KNOL MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS DAMMANN

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 S ONEIDA ST
APPLETON WI
54915-1305
US

IV. Provider business mailing address

2795 MONTCLAIR PL
OSHKOSH WI
54904-8311
US

V. Phone/Fax

Practice location:
  • Phone: 920-831-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: