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PATRICK Q KNOEDLER MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609049758

Individual Registrant:
 PATRICK Q KNOEDLER MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
576 APOLLO DR - MS 39603A NORTH SUBURBAN FAMILY PHYSICIANS LINO LAKES, MN 55014-3004 US
Tel: 651-486-2320  Fax: 651-486-2321

Contact information for business:
8170 33RD AVE S MS21110Q MINNEAPOLIS, MN 55425-4516 US
Tel: 952-883-5375  Fax: 651-486-2321

Registration Information:
NPI: 1609049758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MN390200000X

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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