Individual
DR. ROGER STEVEN KNUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1796
SD
207ND0101X
MOHS-Micrographic Surgery Physician
1796
SD
207NS0135X
Procedural Dermatology Physician
1796
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009994
BLUE CROSS BLUE SHIELD
SD
05
—
5900222
—
SD
Enumeration date
01/24/2006
Last updated
03/11/2008
Update your record
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