Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 0101252545 | VA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 47151 | CO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 64618 | WI |
NPI | 1205951639 |
---|---|
Provider Name | Jeffrey A Knipstein |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205951639 | (05) | WI |
23539364 | (05) | CO |