Individual
DR. LARRY KNUTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
340 S ACCESS RD, RICE LAKE, WI 54868-8572
(715) 236-7906
(715) 236-7714
Mailing address
340 S ACCESS RD, RICE LAKE, WI 54868-8572
(715) 236-7906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2375
WI
Other
Enumeration date
05/12/2006
Last updated
08/27/2014
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