Individual
MR. SCOTT H. KULSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13472 FOXBERRY RD, SAVAGE, MN 55378-2336
(612) 802-1655
Mailing address
13472 FOXBERRY RD, SAVAGE, MN 55378-2336
(612) 802-1655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1158
MN
Other
Enumeration date
12/22/2006
Last updated
02/13/2024
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