Individual
DR. SCOTT DANIEL FORDE THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 892-2021
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 892-2021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19600
MN
Other
Enumeration date
05/08/2008
Last updated
05/02/2010
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