Knudsen, Michael Waldemar

Knudsen, Michael Waldemar is an individual health care provider with primary practice located at 802 Tilghman Dr , Dunn NC 28334-5510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Knudsen, Michael Waldemar can be contacted via phone (910) 892-4248.

Contact Information

Primary practice address
802 Tilghman Dr Dunn NC 28334-5510
Phone: (910) 892-4248
Fax: (910) 892-4461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 116821 Montana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35683 North Carolina

Profile Details

NPI number 1750340527
LBN Legal business name Knudsen, Michael Waldemar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750340527 NPPES
North Carolina MEDICAID 8949781

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