Provider Demographics
NPI:1316956527
Name:KNAUS, CHRISTIANE BLANK (PHARMD RPH)
Entity type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:BLANK
Last Name:KNAUS
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 PENN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1135
Mailing Address - Country:US
Mailing Address - Phone:612-521-7323
Mailing Address - Fax:
Practice Address - Street 1:1583 HAMLINE AVE N
Practice Address - Street 2:
Practice Address - City:FALCON HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55108-2139
Practice Address - Country:US
Practice Address - Phone:651-646-9645
Practice Address - Fax:651-632-2164
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18958183500000X
MI20152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist