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Individual
SCOTT J IHDE
Active
Individual
SCOTT J IHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09408
NC
363AM0700X
Medical Physician Assistant
10972
MN
363AM0700X
Medical Physician Assistant
2446
WI
Other
Enumeration date
07/01/2009
Last updated
04/01/2021
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