Individual
LAUREEN S KNUTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 334-5081
(812) 334-5091
Mailing address
707 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 334-5081
(812) 334-5091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1105-023
WI
363AM0700X
Medical Physician Assistant
1105-023
WI
363AS0400X
Surgical Physician Assistant
Primary
1105-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42980300
—
WI
Enumeration date
05/04/2006
Last updated
07/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us