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SCOTT M HOLTHUSEN, MD – NPI #1093924276
Foot and Ankle Surgery

NPI Profile for SCOTT M HOLTHUSEN in WACONIA, MN.

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Contact Information

SCOTT M HOLTHUSEN, MD
560 S MAPLE ST
SUITE 200
WACONIA, MN  55387-1733
 Phone: 952-442-2163
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

 207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

 207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT M HOLTHUSEN · (Male)

NPI # 1093924276
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2007
Last updated 08/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301085937
  • MN License # 54138
  • WA License # MD 60132138
Hospital affiliation(s)
  • RIDGEVIEW MEDICAL CENTER - (Acute Care)
    500 SOUTH MAPLE STREET
    WACONIA, MN 55387
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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