Organization
KNIGHTON CLINIC FOR REPARATIVE MED., P.A
Active
Other names
Knighton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID REED KNIGHTON M.D. (PRESIDENT)
(952) 920-2009
Entity
Organization
Contact information
Practice address
2460 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-1704
(952) 920-2009
Mailing address
2460 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-1704
(952) 920-2009
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
29076
MN
Other
Enumeration date
07/16/2006
Last updated
11/13/2007
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