Individual
TAMRA MARIE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 N COMMERCIAL ST #100, NEENAH, WI 54956
(920) 722-1840
Mailing address
333 N COMMERCIAL ST #100, NEENAH, WI 54956
(920) 722-1840
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
55514-020
WI
Other
Enumeration date
05/05/2008
Last updated
10/23/2018
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