Individual
MS. MARYANN BETTY KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 3RD PL NW, ROCHESTER, MN 55901-7556
(507) 206-9207
Mailing address
3612 3 PLACE N.W., ROCHESTER, MN 55901
(507) 206-9207
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1066593-2-AFC
MN
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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