Blake Scott Buetow in Vadnais Heights - Orthopedic
Blake Scott Buetow - NPI 1811027980
Blake Scott Buetow is a Orthopedic in Vadnais Heights, Minnesota. Blake Scott Buetow practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Blake Scott Buetow is 1811027980. The last update date is 2020-04-08.
Blake Scott Buetow's current location address is 1155 County Road E E Ste 120, Vadnais Heights, Minnesota. You can contact this provider via phone number 6512411464. The mailing address for Blake Scott Buetow is 1155 County Road E E Ste 120, Vadnais Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Scott Buetow |
|---|---|
| Address | 1155 County Road E E Ste 120, Vadnais Heights, Minnesota |
| Phone Number | 6512411464 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1811027980 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-04-08 |
Provider Mailing Address Detail
| Address | 1155 County Road E E Ste 120 |
|---|---|
| City | Vadnais Heights |
| State | Minnesota (MN) |
| Post Code | 551105191 |
| Phone Number | 6512411464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 7587 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 052N1BU | BLUE CROSS BLUE SHIELD | ||
| 765105000 | MN | -- |
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What is the unique 10-digit identification code issued to Blake Scott Buetow by the Centers for Medicare & Medicaid Services?
The Blake Scott Buetow has been assigned the NPI (National Provider Identifier) 1811027980 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Blake Scott Buetow's physical address?
The Blake Scott Buetow is physically located at 1155 County Road E E Ste 120, in the city of Vadnais Heights, MN, with the postal code 551105191.
What is the Blake Scott Buetow's specialty and taxonomy code?
The Blake Scott Buetow's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811027980 to Blake Scott Buetow?
The Blake Scott Buetow received its 1811027980 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information pertaining to Blake Scott Buetow most recently updated or revised?
The details related to Blake Scott Buetow, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-08.