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Individual

SCOTT M RIEKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2620 EAGAN WOODS DR STE 300, EAGAN, MN 55121-1138
(651) 968-5201
Mailing address
2620 EAGAN WOODS DR STE 300, EAGAN, MN 55121-1138
(651) 968-5201

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0875264
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185343100
MN
Enumeration date
09/16/2006
Last updated
07/21/2022
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