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Contact Information

DEAN K KNUDSON, MD
1155 FORD ROAD
UNIT B
SAINT LOUIS PARK, MN55426
 Phone: 952-378-1800
 Fax: 952-378-1714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DEAN K KNUDSON · (Male)

NPI Number 1215980008
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2006
Last updated 08/27/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 031928
  • MN License # 31928
  • MN Medicaid 477288100
Hospital affiliation(s)
  • HENNEPIN COUNTY MEDICAL CENTER - (Acute Care)
    701 PARK AVENUE
    MINNEAPOLIS, MN 55415
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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