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NPI Code Detail

MEDICARE: MARK KNITZ

MEDICARE:   MARK  KNITZ
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
1163WA2000XAdministrator Registered NurseRN.515245OH

General Provider Information

NPI Number : 1952232506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK KNITZ
Provider Business Mailing Address
First Line : 6000 GOTHIC PL
Second Line :
City : DAYTON
State : OH
Zip : 45459-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6000 GOTHIC PL
Second Line :
City : DAYTON
State : OH
Zip : 45459-2908
Country : US
Telephone Number : 571-442-0720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ MARK KNITZ ” Practice Location

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