Individual
RENEE A KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
38 HIDDEN HOLLOW TRL, MADISON, WI 53717-2501
(608) 669-6862
Mailing address
38 HIDDEN HOLLOW TRL, MADISON, WI 53717-2501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
725
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4204
DEAN HEALTH INSURANCE
WI
05
—
42945500
—
WI
Enumeration date
05/04/2006
Last updated
03/06/2019
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