Individual
SCOTT L. DACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS/ATC/PAC
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-2540
(320) 763-2540
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10290
MN
Other
Enumeration date
05/03/2007
Last updated
10/28/2024
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