# KNIGHTON CLINIC FOR REPARATIVE MED., P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Knighton Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063439032
- **Authorized official:** DAVID REED KNIGHTON M.D. (PRESIDENT)
- **Authorized official phone:** (952) 920-2009

## Contact information

- **Practice address:** 2460 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-1704
- **Practice address phone:** (952) 920-2009
- **Mailing address:** 2460 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-1704
- **Mailing address phone:** (952) 920-2009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 29076 | MN | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 11/13/2007