Provider Demographics
NPI:1013170570
Name:SAUM, DAVID SCOTT
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SCOTT
Last Name:SAUM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 SOUTHVIEW BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-2345
Mailing Address - Country:US
Mailing Address - Phone:651-455-4909
Mailing Address - Fax:651-455-4883
Practice Address - Street 1:625 SOUTHVIEW BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-2345
Practice Address - Country:US
Practice Address - Phone:651-455-4909
Practice Address - Fax:651-455-4883
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2008-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist