Individual
SCOTT A BAMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 15TH STREET N, ST CLOUD, MN 56303-1802
(320) 253-5200
(320) 203-2113
Mailing address
1245 15TH STREET N, ST CLOUD, MN 56303-1802
(320) 253-5200
(320) 203-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016708800
—
MN
Enumeration date
02/24/2006
Last updated
10/13/2009
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