Organization
RAYMOND W. SCALLEN, MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND W. SCALLEN MD (MD/OWNER)
(612) 863-6025
Entity
Organization
Contact information
Practice address
2545 CHICAGO AVE., SUITE 500, MINNEAPOLIS, MN 55404
(612) 863-6025
(612) 863-7790
Mailing address
7801 EAST BUSH LAKE ROAD, SUITE 320, BLOOMINGTON, MN 55439
(952) 831-5773
(952) 831-7224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12424
MN
Other
Enumeration date
08/13/2007
Last updated
05/08/2009
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