Basic Information
Provider Information
NPI: 1588765044
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNOWLES
FirstName: FRANCILLE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2925 CHICAGO AVE
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 55407
CountryCode: US
TelephoneNumber: 6122625000
FaxNumber:  
Practice Location
Address1: 1217 8TH ST N
Address2:  
City: NEW ULM
State: MN
PostalCode: 56073
CountryCode: US
TelephoneNumber: 5072175000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 05/15/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X36328MNY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home