institution
Tara Scott, Pc
Foot & Ankle Surgery Podiatrist in Southfield, Michigan
NPI 1083864151

Tara Scott, Pc is a Foot & Ankle Surgery Podiatrist based in Southfield, MI and is specialized in Foot & Ankle Surgery. Tara Scott, Pc practices in Southfield, MI. The NPI Number for Tara Scott, Pc is 1083864151 and holds a License No. TS001844 (Michigan).

The current practice location address for Tara Scott, Pc is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-557-6500 and via fax at 248-557-2781.

Location: 22250 Providence Dr, Southfield, MI, 48075-4825
institution
Provider Profile Details
NPI Number
1083864151
Provider Name
Tara Scott, Pc
Credential
Provider Entity Type
Organization
Address
22250 Providence Dr, Southfield, MI, 48075-4825
Phone Number
248-557-6500
Fax Number
248-557-2781
Provider Enumeration Date
09/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DB8502 01 MI RAILROAD MEDICARE
4856351640 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
State
Zip
48075-4825
Phone Number
248-557-6500
Fax Number
248-557-2781
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
State
Zip
48075-4825
Phone Number
248-557-6500
Fax Number
248-557-2781
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
TS001844 (Michigan)
Definition
Definition to come...
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