Basic Information
Provider Information
NPI: 1558647180
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINGER
FirstName: SCOTT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8100 NORTHLAND DR
Address2:  
City: BLOOMINGTON
State: MN
PostalCode: 554314800
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8100 NORTHLAND DR
Address2:  
City: BLOOMINGTON
State: MN
PostalCode: 554314800
CountryCode: US
TelephoneNumber: 9528318742
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/27/2011
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X26022447AINN Pharmacy Service ProvidersPharmacist 
207X00000X11016728AINN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X61786MNY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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