Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 890 | MN |
Y | 222Z00000X | Podiatrist | 890 | MN |
N | 213EP1101X | Primary Podiatric Medicine | 890 | MN |
N | 213ES0103X | Foot & Ankle Surgery | 890 | MN |
N | 213ES0103X | Foot & Ankle Surgery | 986-025 | WI |
NPI | 1225299449 |
---|---|
Provider Name | Alex Robert Scholl |
First Address | Hastings, MN 55033-1147 |
Second Address | Hastings, MN 55033-1147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 10/11/2020 |