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S Scott Standa
Foot & Ankle Surgery Podiatrist in Shakopee, Minnesota
NPI 1407963598

S Scott Standa is a Foot & Ankle Surgery Podiatrist based in Shakopee, MN and is specialized in Foot & Ankle Surgery. S Scott Standa practices in Shakopee, MN. The NPI Number for S Scott Standa is 1407963598 and holds a License No. 334 (Minnesota).

The current practice location address for S Scott Standa is 287 Marschall Rd, Shakopee, MN and can be reached out via phone at 952-445-5390 and via fax at 952-445-5394.

Location: 287 Marschall Rd, Shakopee, MN, 55379-1678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407963598
Provider Name
S Scott Standa
Credential
Provider Entity Type
Individual
Gender
Male
Address
287 Marschall Rd, Shakopee, MN, 55379-1678
Phone Number
952-445-5390
Fax Number
952-445-5394
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
892825800 05 MN
institution
Provider Business Practice Location Address Details
Address
287 Marschall Rd
City
Shakopee
State
Minnesota
Zip
55379-1686
Phone Number
952-445-5390
Fax Number
952-445-5394
person
Provider Business Mailing Address Details
Address
287 Marschall Rd
City
Shakopee
State
Minnesota
Zip
55379-1686
Phone Number
952-445-5390
Fax Number
952-445-5394
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
334 (Minnesota)
Definition
Definition to come...
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