Individual
MARY MARGARET KNUDSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 POTRERO AVENUE, RM 3A37, SAN FRANCISCO, CA 94110-3518
(415) 206-4634
(415) 206-5484
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G47446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG474460
—
CA
Enumeration date
06/06/2006
Last updated
07/08/2007
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