Individual
SCOT L SORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
506 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4644
(651) 224-1921
(651) 224-1936
Mailing address
506 N. LEXINGTON PKWY, ST. PAUL, MN 55104
(651) 224-1921
(651) 224-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9746871
—
MN
Enumeration date
12/11/2006
Last updated
07/08/2007
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