Individual
SCOTT D WISSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 UPLAND LANE NORTH, MAPLE GROVE, MN 55369
(952) 993-1440
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q P.O. BOX 1309, MINNEAPOLIS, MN 55425-4516
(952) 993-1440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD427066
PA
Other
Enumeration date
04/16/2007
Last updated
02/05/2016
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