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Individual

BRIAN DENNIS KNUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2591
(605) 322-6960
(605) 322-6961
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4732
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040220
BLUE CROSS
SD
01
0300192
MEDICA
SD
01
070016845
RR MEDICARE
SD
01
1066411
ARAZ/ AMERICA'S PPO
SD
05
1532259
IA
01
27020
SANFORD HEALTH PLAN
SD
01
35306
MIDLANDS CHOICE
SD
01
397A1KN
CC SYSTEMS/ BLUE PLUS
MN
01
397A1KN & 640S0KN
BLUE CROSS
MN
01
407211028110
PREFERRED ONE
SD
05
46022474343
NE
01
57108B003
WPS TRICARE
SD
05
5900392
SD
05
640047700
MN
01
9171639
DAKOTACARE
SD
01
HP37119
HEALTHPARTNERS
SD
Enumeration date
02/23/2006
Last updated
10/15/2018
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