Individual
LINDA J KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3555 WILLOW LK BLVD, SUITE 140, VADNAIS HEIGHTS, MN 55110
(651) 770-2124
(651) 770-3701
Mailing address
3555 WILLOW LK BLVD, SUITE 140, VADNAIS HEIGHTS, MN 55110
(651) 770-2124
(651) 770-3701
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
36027
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012078200
—
MN
01
—
1226435
MEDICA
MN
01
—
1226436
MEDICA
MN
01
—
299L5KN
BLUE CROSS BLUE SHIELD
MN
01
—
CP9090577009
PREFERRED ONE
MN
Enumeration date
09/07/2005
Last updated
09/06/2016
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