Individual
DAWN CAROL SCANTLEBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.,B.S
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1587
KY
207RC0000X
Cardiovascular Disease Physician
104916
MN
207RC0000X
Cardiovascular Disease Physician
Primary
53455
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00954337
RAILROAD MEDICARE
MN
Enumeration date
07/07/2008
Last updated
10/14/2011
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