Raymond W. Scallen, MD Plc

NPI #1114119302 in Minneapolis, Minnesota

Provider Information

NPI Number: 1114119302
Entity Type: Organization
Organization Name: Raymond W. Scallen, MD Plc
Primary Specialty: Specialist
Enumeration Date: Aug 13, 2007
Last Updated: May 8, 2009

Practice Location

Address: 2545 CHICAGO AVE.
Address 2: SUITE 500
City: Minneapolis
State: Minnesota
ZIP Code: 55404
Phone: (612) 863-6025

Authorized Official

Name: DR. RAYMOND W. SCALLEN, MD
Title: MD/OWNER
Phone: (612) 863-6025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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