Individual
DR. SCOTT P BURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112 N STATE ST, FAIRMONT, MN 56031-4058
(507) 235-5551
(507) 238-4429
Mailing address
112 N STATE ST, FAIRMONT, MN 56031-4058
(507) 235-5551
(507) 238-4429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3D578BU
BLUE CROSS BLUE SHIELD
MN
01
—
59662FA
INSURANCE ID
MN
Enumeration date
01/18/2007
Last updated
07/09/2007
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