Knudson, Dean K

Knudson, Dean K is an sole proprietor health care provider with primary practice located at 1155 Ford Road Unit B, St Louis Park MN 55426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Knudson, Dean K can be contacted via phone (952) 378-1800.

Contact Information

Primary practice address
1155 Ford Road Unit B St Louis Park MN 55426
Phone: (952) 378-1800
Fax: (952) 378-1714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31928 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 031928 Minnesota

Profile Details

NPI number 1215980008
LBN Legal business name Knudson, Dean K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Aug 27th, 2014 - about 12 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 1215980008 NPPES
Minnesota MEDICAID 477288100

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