DR. Virgil Ernest Knackstedt, M.D.

NPI #1083605307 in Olympia, Washington

Provider Information

NPI Number: 1083605307
Entity Type: Individual
Name: DR. Virgil Ernest Knackstedt, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Nov 4, 2005
Last Updated: Sep 11, 2013

Practice Location

Address: 3417 ENSIGN RD NE
City: Olympia
State: Washington
ZIP Code: 98506-5064
Phone: (360) 493-4601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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