Individual provider · Type 1 NPI

Virgil Ernest Knackstedt, MD

Specialist · Olympia, WA

NPI number 1083605307 Active

Practice location

3417 Ensign Rd NE
Olympia, WA 98506-5064

Call (360) 493-4601 Map

Fax (360) 493-4603

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD00019853 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083605307

Virgil Ernest Knackstedt, MD's National Provider Identifier is 1083605307, issued on Nov 4, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Olympia, WA. The record was last updated on Sep 11, 2013.