Gregory J Knudson, MD | |
2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | |
(920) 739-5642 | |
(920) 968-0259 |
Full Name | Gregory J Knudson |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2500 E Enterprise Ave, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457395519 | NPI | - | NPPES |
31529000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 29727 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Radiology Associates Of Appleton Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407941909 PECOS PAC ID: 6002851862 Enrollment ID: O20050622000606 |
Mailing Address | Practice Location Address |
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Gregory J Knudson, MD 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Ph: (920) 739-5642 | Gregory J Knudson, MD 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Ph: (920) 739-5642 |
Stephanus J Macrander, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Sara Elizabeth Beltran Ponce, MD Radiology Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-831-8900 Fax: 920-831-1320 | |
Maher Salahi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-739-5642 | |
Kristin Knott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5471 W Waterford Ln, Appleton, WI 54913 Phone: 920-731-7445 | |
Anna Moreland, Radiology Medicare: Accepting Medicare Assignments Practice Location: 424 E Pacific St, Appleton, WI 54911 Phone: 920-475-1201 | |
Stephen M. Bejvan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Keyvan Gharabeighlou, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 |