Individual
MELISSA SUE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
(406) 585-0032
Mailing address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
(406) 585-0032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34009672
OH
207Q00000X
Family Medicine Physician
Primary
DO157503
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024004
WV BWC
WV
01
—
3029332
MOLINA
OH
05
—
3029332
—
OH
05
—
3810017114
—
WV
Enumeration date
11/23/2009
Last updated
05/03/2022
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