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Contact Information

SCOTT D WISSINK, MD
9555 UPLAND LANE NORTH
MAPLE GROVE, MN55369
 Phone: 952-993-1440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT D WISSINK · (Male)

NPI Number 1942425061
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2007
Last updated 02/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD427066
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
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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