Individual
JEFFREY I KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35141
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5227
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11259
NDBS #
ND
01
—
142316
UCARE #
ND
05
—
15001
—
ND
01
—
1800054
MEDICA #
ND
01
—
1800062
MEDICA #
ND
01
—
2045
NDBS #
ND
01
—
676618
AMERICA'S PPO/ARAZ #
ND
01
—
92639KU
MNBS #
ND
01
—
DA9011015549
PREFERRED ONE #
ND
01
—
HP25789
HEALTHPARTNERS #
ND
01
—
ND200039
LHS #
ND
Enumeration date
07/10/2006
Last updated
07/09/2007
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