Carol A Soutor
Dermatologist
401 Phalen Blvd - Ms 41102b Healthpartners Specialty Center 401
StPaul
, Minnesota 55130-5302
Carol A Soutor
Dermatologist
401 Phalen Blvd - Ms 41102b Healthpartners Specialty Center 401
StPaul
, Minnesota 55130-5302
(651) 254-7584
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Carol A Soutor
- 8170 33rd Ave S Ms21110q
- Minneapolis, MN
- Zip : 55425-4516
- Fax : (651) 254-7584
- Phone : (952) 883-5375
Second Address
- Carol A Soutor
- 401 Phalen Blvd - Ms 41102b Healthpartners Specialty Center 401
- St. Paul, MN
- Zip : 55130-5302
- Fax : (651) 254-7584
- Phone : (651) 254-7580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 24028 | MN |
National Provider Identifier
| NPI | 1023084241 |
|---|---|
| Provider Name | Carol A Soutor |
| First Address | Minneapolis, MN 55425-4516 |
| Second Address | St. Paul, MN 55130-5302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 14/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 841582000 | (05) | MN |
| E30517 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.