Provider Demographics
NPI:1902871577
Name:KNIGHT, FLOYD E (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:E
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 PHALEN BLVD
Mailing Address - Street 2:MS 41103F
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-5302
Mailing Address - Country:US
Mailing Address - Phone:651-254-7600
Mailing Address - Fax:651-254-7623
Practice Address - Street 1:401 PHALEN BLVD
Practice Address - Street 2:MS 41103F
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7600
Practice Address - Fax:651-254-7623
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI24958207RG0100X
MN24319207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN115300500Medicaid
D81390Medicare UPIN
380000060Medicare ID - Type Unspecified