Individual
SCOTT JENKINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3355 OAKDALE AVE, ROBBINSDALE, MN 55472
(763) 420-3282
(763) 420-3282
Mailing address
7979 CHESSHIRE LN N, MAPLE GROVE, MN 55311-2209
(763) 420-3282
(763) 420-3282
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2905129
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300014
MEDICA
MN
01
—
31T30JE
BLUES
MN
01
—
42767
GROUP HEALTH
MN
01
—
D072
UCARE
MN
Enumeration date
04/21/2006
Last updated
07/09/2007
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