Provider Demographics
NPI:1437480860
Name:KNISKERN, EMILY MAKI
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MAKI
Last Name:KNISKERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 E 1ST ST
Mailing Address - Street 2:APT B3
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2461
Mailing Address - Country:US
Mailing Address - Phone:906-250-3370
Mailing Address - Fax:
Practice Address - Street 1:1212 E 1ST ST
Practice Address - Street 2:APT B3
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2461
Practice Address - Country:US
Practice Address - Phone:906-250-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula