Individual
SCOTT CORNELIUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5200 21ST AVE S, APT. #201, FARGO, ND 58103-7787
(701) 361-4730
Mailing address
5200 21ST AVE S, APT. #201, FARGO, ND 58103-7787
(701) 361-4730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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