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Dr. Scott Edward Wavinak, DO
Student in an Organized Health Care Education/Training Program in Prior Lake, Minnesota
NPI 1063831733

Scott Edward Wavinak is a Student in an Organized Health Care Education/Training Program based in Prior Lake, MN. Scott Edward Wavinak practices in Prior Lake, MN and has the professional credentials of DO. The NPI Number for Scott Edward Wavinak is 1063831733 and holds a License No. 60135 (Minnesota).

The current practice location address for Scott Edward Wavinak is 4151 Willowwood St Se, Prior Lake, MN and can be reached out via phone at 952-226-2600.

Location: 4151 Willowwood St Se, Prior Lake, MN, 55372-4304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063831733
Provider Name
Scott Edward Wavinak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4151 Willowwood St Se, Prior Lake, MN, 55372-4304
Phone Number
952-226-2600
Fax Number
Provider Enumeration Date
04/10/2014
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4151 Willowwood St Se
City
Prior Lake
State
Minnesota
Zip
55372-4304
Phone Number
952-226-2600
Fax Number
person
Provider Business Mailing Address Details
Address
4151 Willowwood St Se
City
Prior Lake
State
Minnesota
Zip
55372-4304
Phone Number
952-226-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60135 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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