Individual
GREGORY PAUL KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLE
Contact information
Practice address
1960 TWIN LAKES PKWY, ROSEVILLE, MN 55113-1324
(612) 788-1549
(651) 633-9761
Mailing address
1960 TWIN LAKES PKWY, ROSEVILLE, MN 55113-1324
(612) 788-1549
(651) 633-9761
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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