Provider Demographics
NPI:1457320517
Name:KNOPKE, AMY J (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:KNOPKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3366 OAKDALE AVE N
Mailing Address - Street 2:#605
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2948
Mailing Address - Country:US
Mailing Address - Phone:763-520-2940
Mailing Address - Fax:763-520-2943
Practice Address - Street 1:3366 OAKDALE AVE N
Practice Address - Street 2:#605
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2948
Practice Address - Country:US
Practice Address - Phone:763-520-2940
Practice Address - Fax:763-520-2943
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-10-20
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Provider Licenses
StateLicense IDTaxonomies
MN47022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I22393Medicare UPIN