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Individual

DR. SCOTT A ENGUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
01043357A
IN
2086S0120X
Pediatric Surgery Physician
Primary
13787
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200013210
IN
Enumeration date
01/19/2006
Last updated
10/27/2025
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