Raymond W. Scallen, Md Plc in Bloomington - Specialist

Raymond W. Scallen, Md Plc - NPI 1114119302

Raymond W. Scallen, Md Plc is a Specialist in Bloomington, Minnesota. Raymond W. Scallen, Md Plc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Raymond W. Scallen, Md Plc is 1114119302. The last update date is 2009-05-08.

Raymond W. Scallen, Md Plc's current location address is 7801 East Bush Lake Road, Bloomington, Minnesota. You can contact this provider via phone number 9528315773 and fax number 9528317224. The mailing address for Raymond W. Scallen, Md Plc is 7801 East Bush Lake Road, Bloomington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Raymond W. Scallen, Md Plc
Address 7801 East Bush Lake Road, Bloomington, Minnesota
Phone Number 9528315773
Fax Number 9528317224
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD/OWNER
Authorized Official Name Scallen W. Raymond
Credentials MD
Telephone Number 6128636025

NPI Number Detail

NPI Number 1114119302
Provider Enumeration Date 2007-08-13
Last Updated Date 2009-05-08

Provider Mailing Address Detail

Address 7801 East Bush Lake Road
City Bloomington
State Minnesota (MN)
Post Code 55439
Phone Number 9528315773
Fax Number 9528317224

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 12424
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Raymond W. Scallen, Md Plc

What is the Raymond W. Scallen, Md Plc's unique identification number?

The Raymond W. Scallen, Md Plc has been assigned the NPI (National Provider Identifier) Number 1114119302 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Raymond W. Scallen, Md Plc is located?

The Raymond W. Scallen, Md Plc is situated at the following address: 7801 East Bush Lake Road, Bloomington, MN, 55439.

What is Raymond W. Scallen, Md Plc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Raymond W. Scallen, Md Plc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114119302 to Raymond W. Scallen, Md Plc?

The Raymond W. Scallen, Md Plc received its 1114119302 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.

When was the Raymond W. Scallen, Md Plc's information last updated?

The Raymond W. Scallen, Md Plc's information was last updated on 2009-05-08.

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