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Individual

DR. SCOTT D SALITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4833 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2214
(612) 991-3139
Mailing address
PO BOX 402, HOPKINS, MN 55343-0402
(612) 991-3139

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4370
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065328
AMERICAN SPECIALTY HEALTH
MN
01
119H8CH
BCBS MN ID#
MN
01
331133851
CHIROCARE ID#
MN
05
787250000
MN
Enumeration date
02/16/2007
Last updated
09/28/2023
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