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Gregory M. Knoblauch, PA-C
Surgical Physician Assistant in Wichita, Kansas
NPI 1902844483

Gregory M. Knoblauch is a Surgical Physician Assistant based in Wichita, KS and is specialized in Surgical. Gregory M. Knoblauch practices in Wichita, KS and has the professional credentials of PA-C. The NPI Number for Gregory M. Knoblauch is 1902844483 and holds a License No. 15-00484 (Kansas).

The current practice location address for Gregory M. Knoblauch is 10100 E Shannon Woods St, Wichita, KS and can be reached out via phone at 316-219-8299 and via fax at 316-219-5899. You can also correspond with Gregory M. Knoblauch through the mailing address at 10100 E SHANNON WOODS ST, WICHITA, KS - 67226-4104 (mailing address contact number: 316-219-8299).

Location: 10100 E Shannon Woods St, Wichita, KS, 67226-4104
person
Provider Profile Details
NPI Number
1902844483
Provider Name
Gregory M. Knoblauch
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
10100 E Shannon Woods St, Wichita, KS, 67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042940 01 KS BLUE SHIELD
100357590C 05 KS
662341 01 KS FIRST GUARD
970028120 01 R. R. MEDICARE
4840 01 KS PREFERRED HEALTH SYSTEMS
institution
Provider Business Practice Location Address Details
Address
10100 E Shannon Woods St
City
State
Zip
67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
person
Provider Business Mailing Address Details
Address
10100 E Shannon Woods St
City
State
Zip
67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15-00484 (Kansas)
Definition
Definition to come...
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