Scott W Petrescue in Thief River Falls - Family Medicine
Scott W Petrescue - NPI 1043302474
Scott W Petrescue is a Family Medicine in Thief River Falls, Minnesota. Scott W Petrescue practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Scott W Petrescue is 1043302474. The last update date is 2011-11-18.
Scott W Petrescue's current location address is 1720 Highway 59 S, Thief River Falls, Minnesota. You can contact this provider via phone number 2186844747. The mailing address for Scott W Petrescue is 1720 Highway 59 S, Thief River Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott W Petrescue |
|---|---|
| Address | 1720 Highway 59 S, Thief River Falls, Minnesota |
| Phone Number | 2186844747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043302474 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 1720 Highway 59 S |
|---|---|
| City | Thief River Falls |
| State | Minnesota (MN) |
| Post Code | 567014331 |
| Phone Number | 2186844747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 41217 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10928 | ND | -- | |
| 945324500 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Scott W Petrescue by the Centers for Medicare & Medicaid Services?
The Scott W Petrescue has been assigned the NPI (National Provider Identifier) 1043302474. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Scott W Petrescue's physical address?
The Scott W Petrescue is physically located at 1720 Highway 59 S, in the city of Thief River Falls, MN, with the postal code 567014331.
What is Scott W Petrescue's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott W Petrescue is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043302474 to Scott W Petrescue?
The Scott W Petrescue received its 1043302474 assignment from the Centers for Medicare & Medicaid Services on 2006-09-30.
As of what date were the Scott W Petrescue's details last updated?
The information pertaining to the Scott W Petrescue, including its address, specialty, and other details, was most recently updated on 2011-11-18.