Individual
DEAN K KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 FORD ROAD, UNIT B, ST LOUIS PARK, MN 55426
(952) 378-1800
(952) 378-1714
Mailing address
1155 FORD ROAD, UNIT B, ST LOUIS PARK, MN 55426
(952) 378-1800
(952) 378-1714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
031928
MN
2084P0800X
Psychiatry Physician
Primary
31928
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477288100
—
MN
Enumeration date
05/19/2006
Last updated
08/27/2014
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