Individual
PETER BENJAMIN SCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40605
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060411
—
MT
01
—
025A6SC
BLUE CROSS BLUE SHIELD
MN
05
—
0535047
—
IA
01
—
1025762
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
1163348
ARAZ
MN
01
—
12-00978
MEDICA CHOICE
MN
01
—
12-09026
MEDICA PRIMARY
MN
01
—
136416
FAIRVIEW
MN
01
—
151276
UCARE
MN
05
—
34044700
—
WI
05
—
764415900
—
MN
05
—
7777470
—
SD
01
—
HP31785
HEALTH PARTNERS
MN
Enumeration date
09/22/2006
Last updated
09/18/2018
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