| Doctor Name: | STEPHANIE JOY KNOBLOCH |
| NPI Number: | 1043310386 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R1437614 |
| Business Practice Address: | 24 E 7th St Morris, MN - 562671312 |
| Business Phone Number: | 3205894008 |
| Business Fax Number: | 3205894227 |
| Mailing Address: | 20592 462nd Ave, MORRIS |
| State: | MN |
| Postal Code: | 562674516 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R1437614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |