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Contact Information

SCOTT S HARRIS, MD
301 N BROADWAY
PELICAN RAPIDS, MN56572-4113
 Phone: 218-863-2000
 Fax: 218-847-0881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT S HARRIS · (Male)

NPI Number 1740402858
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 11/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 28934
  • ND License # 5107
  • MN Medicaid 1740402858
  • ND Medicaid 14688
  • ND Medicaid 15107
  • ND Other 15107 MEDICAID
  • ND Other CF8850 RAILROAD MEDICARE
  • ND Other P00806459 RAILROAD MEDICARE
Hospital affiliation(s)
  • LAKEWOOD HEALTH CENTER - (Critical Access)
    600 MAIN AVE S
    BAUDETTE, MN 56623
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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