# SCOTT E. LANGENBURG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093715450
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 4301069906 | MI | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 05/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000521515 | ANTHEM | OH |
| 01 | — | 020H277290 | BLUE CROSS BLUE SHIELD MI | MI |
| 01 | — | 04561 | PARAMOUNT | OH |
| 01 | — | 146595 | GLHP | — |
| 01 | — | 2486804 | BCMH | OH |
| 05 | — | 2486804 | — | OH |
| 05 | — | 4072053 | — | MI |
| 05 | — | 4115606 | — | MI |
| 05 | — | 4672412 | — | MI |
| 05 | — | 5202232 | — | MI |
| 01 | — | 7633064 | AETNA | OH |
| 01 | — | 7660 | HEALTH PLAN OF MI | — |
| 01 | — | SL069906 | COMMERCIAL-COMMERCIAL NUMBER | — |