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SCOTT DOUGLAS SIDNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50149
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134547
UCARE
MN
01
1366490062
MEDICA
MN
01
1366490062
BLUE CROSS AND BLUE SHIELD OF NORTH DAKOTA
ND
05
1366490062
IA
01
253802
MIDLANDS CHOICE, INC
MN
05
34872300
WI
01
6I349SI
BLUE CROSS AND BLUE SHIELD OF MINNESOTA
MN
01
9250848
DAKOTA CARE
MN
01
943381
PREFERRED ONE
MN
05
954487900
MN
01
HP78846
HEALTHPARTNERS
MN
01
P00406915
MEDICARE RAILROAD MN
MN
01
P00737108
MEDICARE RAILROAD WI
WI
Enumeration date
05/04/2006
Last updated
07/21/2022
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