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Contact Information

RICHELLE M KNUDSON, MD
2830 N WASHINGTON ST
BISMARCK, ND58503-1482
 Phone: 701-323-6400
 Fax: 701-323-5677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RICHELLE M KNUDSON · (Female)

NPI Number 1811149156
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2008
Last updated 09/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 104460
  • MN License # 52270
  • ND License # 12939
  • ND License # RL10955
  • IA Medicaid ENROLLED
  • MN Medicaid ENROLLED
  • ND Medicaid 18404
  • MN Other P00839007 RAILROAD MEDICARE
Hospital affiliation(s)
  • MEDCENTER ONE - (Acute Care)
    300 N 7TH ST
    BISMARCK, ND 58506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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