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Individual

PETER BENJAMIN SCAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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