DR. SCOTT WAVINAK, D.O.
Family Medicine
Active
Individual
NPI: 1063831733
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 60135 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1063831733 is the National Provider Identifier for DR. SCOTT WAVINAK, D.O., a Family Medicine provider located in Prior Lake, MN. This NPI was enumerated on April 10, 2014.
DR. SCOTT WAVINAK, D.O. practices at 4151 WILLOWWOOD ST SE, Prior Lake, MN 55372.
Quick Facts
- NPI
- 1063831733
- Type
- Individual
- Enumerated
- Apr 10, 2014
- Last Updated
- Sep 17, 2024
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