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Individual

RACHEL NAOMI KNUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369
(763) 420-5112
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
(763) 420-6957

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3472
MN
152WC0802X
Corneal and Contact Management Optometrist
Primary
3472
MN
156F00000X
Technician/Technologist

Other

Enumeration date
05/26/2016
Last updated
08/20/2018
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