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Contact Information

JEFFREY I KNUTSON, MD
3000 32ND AVE S
FARGO, ND58103-6132
 Phone: 701-364-8000
 Fax: 701-364-8078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY I KNUTSON · (Male)

NPI Number 1902830425
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35141
  • ND License # 5227
  • ND Medicaid 15001
  • ND Other 676618 AMERICA'S PPO/ARAZ #
  • ND Other HP25789 HEALTHPARTNERS #
  • ND Other ND200039 LHS #
  • ND Other 1800054 MEDICA #
  • ND Other 1800062 MEDICA #
  • ND Other 92639KU MNBS #
  • ND Other 11259 NDBS #
  • ND Other 2045 NDBS #
  • ND Other DA9011015549 PREFERRED ONE #
  • ND Other 142316 UCARE #
Hospital affiliation(s) Not Available
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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