| Crystal J Knutson, MD | |
|
1415 Saint Francis Ave, Shakopee, MN 55379 | |
| (952) 993-7750 | |
| (952) 993-7835 |
| Full Name | Crystal J Knutson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043531437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 58609 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal J Knutson, MD 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750 | Crystal J Knutson, MD 1415 Saint Francis Ave, Shakopee, MN 55379 Ph: (952) 993-7750 |
Stephy Ann Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 Fax: 952-993-7835 | |
Kayln Rachele Stensrud, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-2000 | |
Anna Victoria Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1515 Saint Francis Ave Ste 100, Shakopee, MN 55379 Phone: 952-445-6700 Fax: 952-445-3527 | |
Amelia Sneve, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Lisa J Gears, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800 | |
Juliana Y O'laughlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave, Suite 230, Shakopee, MN 55379 Phone: 952-445-6700 |