Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT MYRON HOLTHUSEN, MD
ActiveSCOTT MYRON HOLTHUSEN, MD is a Sports Medicine (Orthopaedic) healthcare provider located in WACONIA, Minnesota. NPI 1093924276 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · WACONIA, MN
Registration Details
- NPI Number
- 1093924276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.275238446165 yrs)
- Last Updated
- Aug 9, 2011
- Licenses
-
4301085937 (MI)MD 60132138 (WA)54138 (MN)
Practice Information
- Address
-
560 S MAPLE STSUITE 200WACONIA, MN, 553871733Browse MN providers · Browse ZIP 55387
- Phone
- 9524422163
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.