MEDICARE: STEPHEN THOMAS KNUFF D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	5101015974	MI
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	53929	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851481162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN THOMAS KNUFF D.O.

Provider Business Mailing Address
First Line	:	1950 CURVE CREST BLVD W
Second Line	:
City	:	STILLWATER
State	:	MN
Zip	:	55082-5078
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 CURVE CREST BLVD W
Second Line	:
City	:	STILLWATER
State	:	MN
Zip	:	55082-5078
Country	:	US
Telephone Number	:	651-430-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	08/03/2011

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