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Mr. Wayne S. Knesebeck, PC
Specialist in Ashtabula, Ohio
NPI 1275738551

Wayne S. Knesebeck is a Specialist based in Ashtabula, OH. Wayne S. Knesebeck practices in Ashtabula, OH and has the professional credentials of PC. The NPI Number for Wayne S. Knesebeck is 1275738551 and holds a License No. OHIO LIC C0501083 (Ohio).

The current practice location address for Wayne S. Knesebeck is 4200 Park Ave, Ashtabula, OH and can be reached out via phone at 440-992-2121 and via fax at 440-992-5974.

Location: 4200 Park Ave, Ashtabula, OH, 44004-6887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275738551
Provider Name
Wayne S. Knesebeck
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
4200 Park Ave, Ashtabula, OH, 44004-6887
Phone Number
440-992-2121
Fax Number
440-992-5974
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851352959 01 OH GROUP NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
4200 Park Ave
City
Ashtabula
State
Ohio
Zip
44004-6887
Phone Number
440-992-2121
Fax Number
440-992-5974
person
Provider Business Mailing Address Details
Address
4200 Park Ave
City
Ashtabula
State
Ohio
Zip
44004-6887
Phone Number
440-992-2121
Fax Number
440-992-5974
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OHIO LIC C0501083 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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