Individual
MR. SCOTT KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423-2673
(612) 788-8778
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 788-8778
(612) 869-3473
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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