# RENEE J KNUTSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326017955
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01045000A | IN | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 10/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000324386 | ANTHEM PROVIDER NUMBER | IN |
| 01 | — | 10783508 | CAQH | IN |
| 05 | — | 200168150 | — | IN |
| 01 | — | 471400091 | MEDICARE | IN |
| 01 | — | P00192247 | MEDICARE RAILROAD NUMBER | IN |