NPI 1720068810 · live from the CMS NPI Registry
Scott Ward Ahrenholz, D.O.
Pediatrics, Sports Medicine in Wyoming, MN. National Provider Identifier 1720068810, active.
NPI record
| NPI | 1720068810 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Sports Medicine 2080S0010X |
| Practice location | 5200 Fairview Blvd, Wyoming, MN 55092 |
| Practice phone | 651-982-7800 |
| Enumerated | January 17, 2006 |
| Last updated | June 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | R-7339 (IA) |
| Pediatrics, Sports Medicine primary | 2080S0010X | 51314 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.