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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY M SCANLAN, MD

Active Sole Proprietor

TIMOTHY M SCANLAN, MD is a Addiction Medicine (Family Practice) healthcare provider located in HUGO, Minnesota. NPI 1528054301 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · HUGO, MN

Registration Details

NPI Number
1528054301
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2005 (20.911905631385 yrs)
Last Updated
Nov 27, 2012
Licenses
17663 (KS)
20245 (MN)
Sole Proprietor
Yes

Practice Information

Address
4767 DAHLIA WAY N
HUGO, MN, 550386060
Browse MN providers · Browse ZIP 55038
Phone
6514934856
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X
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.