Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 201001609 | NC |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 34.004482 | OH |
NPI | 1518954387 |
---|---|
Provider Name | Mark Eric Knable |
First Address | Dublin, OH 43016-4141 |
Second Address | Athens, OH 45701-2858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 25/01/2022 |