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Individual
MR. SCOTT M VANZANTEN
Active
Individual
MR. SCOTT M VANZANTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1324146
MEDICARE RR
MI
Enumeration date
05/11/2006
Last updated
07/21/2022
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