Individual
MR. SCOTT KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491043
—
IA
01
—
0808750001
MEDICARE DMERC
MN
05
—
213825500
—
MN
05
—
236266000
—
MN
01
—
480000572
TRAVELERS RAILROAD
MN
01
—
C02581
MEDICARE GROUP
MN
01
—
CS1038
TRAVELERS RAILROAD GROUP
MN
01
—
P00309735
MEDICARE RAILROAD
MN
Enumeration date
06/20/2005
Last updated
07/22/2019
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