KNIGHTON CLINIC FOR REPARATIVE MED., P.A; NPI #1063439032

Contact Information

KNIGHTON CLINIC FOR REPARATIVE MED., P.A

2460 HIGHWAY 100 S
SAINT LOUIS PARK, MN 55416-1704

Phone: 952-920-2009
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for KNIGHTON CLINIC FOR REPARATIVE MED., P.A

NPI # 1063439032

LBN Legal business name KNIGHTON CLINIC FOR REPARATIVE MED., P.A

Authorized official DAVID KNIGHTON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2006

Last updated 11/13/2007 - About 19 years ago

Identifiers

License #

29076

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KNIGHTON CLINIC FOR REPARATIVE MED., P.A

Contact Information

Specialty

Vascular Surgery

NPI Profile & details for KNIGHTON CLINIC FOR REPARATIVE MED., P.A

Reviews for KNIGHTON CLINIC FOR REPARATIVE MED., P.A