Provider Demographics
NPI:1568559177
Name:CROW, SCOTT J (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:J
Last Name:CROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE ST SE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-273-8700
Mailing Address - Fax:
Practice Address - Street 1:2312 SOUTH 6TH STREET
Practice Address - Street 2:SUITE F256 / 2B WEST
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-273-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN0330472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN768073OtherARAZ
MN1515881OtherMEDICA-PRIMARY
MN1515881OtherMEDICA-CHOICE
MN8D920CROtherBLUE CROSS BLUE SHIELD
MNHP20728OtherHEALTH PARTNERS
MN086769OtherFAIRVIEW
MN102730OtherU CARE
MN979867600Medicaid
MN1006904OtherPREFERRED ONE
MN102730OtherU CARE
MN8D920CROtherBLUE CROSS BLUE SHIELD