Individual
JAMES W KNUDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 CHICAGO AVE, SUITE 701, MINNEAPOLIS, MN 55404-4522
(612) 863-5327
(612) 863-2596
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21613
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002700
—
MN
Enumeration date
03/17/2006
Last updated
07/08/2007
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