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NPI Code Detail

MEDICARE: SCOTT SERES

MEDICARE: SCOTT SERES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor36057MN

General Provider Information

NPI Number : 1497684385
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT SERES
Provider Business Mailing Address
First Line : 10900 WASHBURN AVE S
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55431-3761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3501 ALDRICH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-4149
Country : US
Telephone Number : 612-440-7118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2026
Last Update Date : 05/16/2026

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Directions to “ SCOTT SERES ” Practice Location

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