Individual
JOHN T KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108
(651) 641-6200
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(651) 641-6200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49774
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35237300
—
WI
05
—
494410000
—
MN
05
—
ENROLLED
—
IA
01
—
P00764023
RAILROAD MEDICARE
MN
Enumeration date
04/09/2007
Last updated
05/14/2019
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