Korte B Knoblauch, PA-C

NPI #1598153512 in Peoria, Illinois

Provider Information

NPI Number: 1598153512
Entity Type: Individual
Name: Korte B Knoblauch, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 29, 2014
Last Updated: Dec 29, 2014

Practice Location

Address: 5114 N GLEN PARK PLACE RD
City: Peoria
State: Illinois
ZIP Code: 61614-4686
Phone: (309) 655-2431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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