Organization · Type 2 NPI

Raymond W. Scallen, MD PLC

Specialist · Minneapolis, MN

NPI number 1114119302 Active

Practice location

2545 Chicago Ave., Suite 500
Minneapolis, MN 55404

Call (612) 863-6025 Map

Fax (612) 863-7790

Mailing address

7801 East Bush Lake Road, Suite 320
Bloomington, MN 55439

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X12424 (MN)

Specialist: 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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About NPI 1114119302

Raymond W. Scallen, MD PLC's National Provider Identifier is 1114119302, issued on Aug 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Minneapolis, MN. The record was last updated on May 8, 2009.