Conrad, Daniel Scotland

Conrad, Daniel Scotland is an sole proprietor health care provider with primary practice located at 9801 Dupont Ave S Suite 200, Bloomington MN 55431-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Conrad, Daniel Scotland can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave S Suite 200 Bloomington MN 55431-3100
Fax: (952) 884-2656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41851 Minnesota

Profile Details

NPI number 1689630584
LBN Legal business name Conrad, Daniel Scotland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Nov 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689630584 NPPES
Minnesota MEDICAID 501721100

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