Individual provider · Type 1 NPI

Jacklyn A. Knoll, PA-C

Medical Physician Assistant · Wausau, WI

NPI number 1699087411 Active

Practice location

500 Wind Ridge Dr
Wausau, WI 54401-4173

Call (715) 847-2611 Map

Mailing address

500 Wind Ridge Dr.
Wausau, WI 54401-4173

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2622-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1699087411

Jacklyn A. Knoll, PA-C's National Provider Identifier is 1699087411, issued on Jul 9, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wausau, WI. The record was last updated on Jan 4, 2011.