Scott D Wissink, MD Valid NPI
Individual provider · Orthopaedic Surgery Physician · Maple Grove, MN
- NPI
- 1942425061
- Type
- Individual (Type 1)
- Primary specialty
- Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207X00000X
- License number
- MD427066 (PA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-16
- Last updated
- 2016-02-05
Practice location
9555 Upland Lane North
Maple Grove, MN 55369
(952) 993-1440