Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 18374 | IA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 18374 | IA |
N | 207QS0010X | Family Doctor - Sports Medicine | 18374 | IA |
NPI | 1326046731 |
---|---|
Provider Name | Dr. Scott Rodney Helmers |
First Address | Mankato, MN 56001-6460 |
Second Address | Mankato, MN 56001-6460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 02/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0073197 | (05) | IA |
115476 | MINNESOTA UCARE (01) | MN |
917782500 | (05) | MN |
A00900 | (02) |