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1730151473
SCOTT R KETOVER
SAINT PAUL, MN
NPI
1730151473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MN 33399)
Enumeration Date
2006-02-06
Last Update Date
2007-10-29
Business Address
-- SCOTT R KETOVER MD
2550 UNIVERSITY AVE W SUITE 423 SOUTH
SAINT PAUL, MN 55114-1052
Phone number: 612-870-5557
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Mailing Address
-- SCOTT R KETOVER MD
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-870-5557
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