Individual
MELISSA C KNUTSON
Active
Individual
MELISSA C KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003922A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
02003922A
IN
207R00000X
Internal Medicine Physician
02003922
IN
207R00000X
Internal Medicine Physician
Primary
02003922A
IN
208M00000X
Hospitalist Physician
2010-00476
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729675
ANTHEM PIN
IN
05
—
201032610
—
IN
Enumeration date
05/26/2008
Last updated
03/17/2025
Update your record
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