Individual
JOHN C. KNUDSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N 17TH ST, MOUNT VERNON, WA 98273-3440
(360) 424-4627
(360) 848-6327
Mailing address
111 N 17TH ST, MOUNT VERNON, WA 98273-3440
(360) 424-4627
(360) 848-6327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0016795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647809
—
WA
Enumeration date
02/17/2006
Last updated
07/08/2007
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