Individual
S SCOTT STANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
287 MARSCHALL RD, STE 106, SHAKOPEE, MN 55379-1686
(952) 445-5390
(952) 445-5394
Mailing address
287 MARSCHALL RD, STE 106, SHAKOPEE, MN 55379-1678
(952) 445-5390
(952) 445-5394
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
334
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892825800
—
MN
Enumeration date
08/24/2006
Last updated
02/26/2010
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