Stephen Mark Scallon MD

NPI 1003899089 - Pediatrics - 208000000X

NPI Details
NPI 1003899089
Gender Male
Enumeration Date 11/23/2005
Last Updated 02/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1500 CURVE CREST BLVD W
STILLWATER MN, 55082-6040, US
Phone (651) 439-1234
Fax (651) 439-1547
Business Location
1500 CURVE CREST BLVD W
STILLWATER MN, 55082-6040, US
Phone (651) 439-1234
Fax (651) 439-1547
Toxanomy
Taxonomy Code 208000000X
License State Wisconsin
License Number 24613
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According to our database, Dr. Stephen Mark Scallon MD NPI is 1003899089, taxonomy code is 208000000X and license number is 24613, license state is located at Wisconsin. Stephen Mark Scallon MD physically located at 1500 Curve Crest Blvd W, Stillwater MN, 55082-6040. NPI Number Stephen Mark Scallon MD has the Individual type.

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1003899089 NPI number is provided on an as is basis without warranty of any kind. 1003899089 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Mark Scallon MD are for informational purposes only.