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Jack C. Scott, MD
Specialist in Fridley, Minnesota
NPI 1619913050

Jack C. Scott is a Specialist based in Fridley, MN. Jack C. Scott practices in Fridley, MN and has the professional credentials of MD. The NPI Number for Jack C. Scott is 1619913050 and holds a License No. 21065 (Minnesota).

The current practice location address for Jack C. Scott is 7205 University Ave Ne, Fridley, MN and can be reached out via phone at 763-571-4000 and via fax at 763-571-7202. You can also correspond with Jack C. Scott through the mailing address at 7205 UNIVERSITY AVE NE, FRIDLEY, MN - 55432-3134 (mailing address contact number: 763-571-4000).

Location: 7205 University Ave Ne, Fridley, MN, 55432-3134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619913050
Provider Name
Jack C. Scott
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7205 University Ave Ne, Fridley, MN, 55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870787100 05 MN
institution
Provider Business Practice Location Address Details
Address
7205 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
person
Provider Business Mailing Address Details
Address
7205 University Ave Ne
City
Fridley
State
Minnesota
Zip
55432-3134
Phone Number
763-571-4000
Fax Number
763-571-7202
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
21065 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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