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NPI Code Detail

MEDICARE: DR. PATRICK JAMES KNAPP JR. DDS

MEDICARE: DR. PATRICK JAMES KNAPP JR. DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryWI5314-015WI

General Provider Information

NPI Number : 1699933960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK JAMES KNAPP JR. DDS
Provider Business Mailing Address
First Line : 5007 S HOWELL AVE STE 315
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6159
Country : US
Telephone Number : 414-483-1820
Fax Number :
Provider Business Practice Location Address
First Line : 5007 S HOWELL AVE STE 315
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-6159
Country : US
Telephone Number : 414-483-1820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2008
Last Update Date : 05/23/2008

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