Scott Myron Holthusen
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
560 S Maple St Suite 200
Waconia
, Minnesota 55387-1733
Scott Myron Holthusen
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
560 S Maple St Suite 200
Waconia
, Minnesota 55387-1733
(952) 442-2163
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About
Features
Specialties
- Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Scott Myron Holthusen
- 560 S Maple St Suite 200
- Waconia, MN
- Zip : 55387-1733
- Phone : (952) 442-2163
Second Address
- Scott Myron Holthusen
- 560 S Maple St Suite 200
- Waconia, MN
- Zip : 55387-1733
- Phone : (952) 442-2163
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 4301085937 | MI |
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 54138 | MN |
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD 60132138 | WA |
National Provider Identifier
| NPI | 1093924276 |
|---|---|
| Provider Name | Scott Myron Holthusen |
| First Address | Waconia, MN 55387-1733 |
| Second Address | Waconia, MN 55387-1733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 09/08/2011 |
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.