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Individual

DR. MARK LEE KNUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
622 MAIN ST, CEDAR FALLS, IA 50613
(319) 266-1838
(319) 268-1460
Mailing address
622 MAIN ST, CEDAR FALLS, IA 50613
(319) 266-1838
(319) 268-1460

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04494
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122390
IA
Enumeration date
09/25/2006
Last updated
12/17/2007
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