Organization · Type 2 NPI

Knighton Clinic for Reparative Med., P.a

Vascular Surgery Physician · St. Louis Park, MN

NPI number 1063439032 Active

Practice location

2460 Highway 100 S
St. Louis Park, MN 55416-1704

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X29076 (MN)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

4 other providers at this address

About NPI 1063439032

Knighton Clinic for Reparative Med., P.a's National Provider Identifier is 1063439032, issued on Jul 16, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in St. Louis Park, MN. The record was last updated on Nov 13, 2007.