Individual
DR. SCOTT TYLER PERSELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
26602
MN
207RR0500X
Rheumatology Physician
ME51867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05803
BLUECROSS/BLUESHIELD
FL
05
—
268820400
—
FL
01
—
700006030
RAILROAD MEDICARE
FL
Enumeration date
10/24/2005
Last updated
03/14/2018
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