Knudson, Mary Margaret

Knudson, Mary Margaret is an individual health care provider with primary practice located at 1001 Potrero Avenue Rm 3A37, San Francisco CA 94110-3518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Knudson, Mary Margaret can be contacted via phone (415) 206-4634.

Contact Information

Primary practice address
1001 Potrero Avenue Rm 3A37 San Francisco CA 94110-3518
Fax: (415) 206-5484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G47446 California

Profile Details

NPI number 1912946674
LBN Legal business name Knudson, Mary Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1912946674 NPPES
California MEDICAID OOG474460

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