Tara Scott Dpm Pc

NPI 1295063816 - Podiatrist - 213E00000X

NPI Details
NPI 1295063816
Enumeration Date 11/19/2009
Last Updated 11/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KIM KIM
Position OFFICE MANAGER
Phone (248) 557-6500
Fax (248) 557-2781
Practice Location
22250 PROVIDENCE DR
SUITE 608
SOUTHFIELD MI, 48075-4825, US
Phone (248) 557-6500
Fax (248) 557-2781
Business Location
22250 PROVIDENCE DR
SUITE 608
SOUTHFIELD MI, 48075-4825, US
Phone (248) 557-6500
Fax (248) 557-2781
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number TS001844
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According to our database, Tara Scott Dpm Pc NPI is 1295063816, taxonomy code is 213E00000X and license number is TS001844, license state is located at Michigan. Tara Scott Dpm Pc physically located at 22250 Providence Dr, Southfield MI, 48075-4825. NPI Number 1033115704 has the healthcare provider type.

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1295063816 NPI number is provided on an as is basis without warranty of any kind. 1295063816 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Scott Dpm Pc are for informational purposes only.