JASON P KNISELY

FORT WAYNE, IN
NPI1205828001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000501A)
Enumeration Date2005-08-17
Last Update Date2018-10-30
Business Address
JASON P KNISELY PA
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
JASON P KNISELY PA
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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