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Individual
DR. SCOTT A PAXTON
Active
Individual
DR. SCOTT A PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1800
WI
207Q00000X
Family Medicine Physician
5101013909
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0858207125
BCBS INDIVIDUAL
MI
05
—
100218169
—
WI
05
—
1548246242
—
MI
01
—
1800
STATE LICENSE
WI
01
—
700H219150
BLUE SHIELD
MI
Enumeration date
12/15/2005
Last updated
01/03/2025
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