Individual
DR. SCOTT ALAN SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W MEMORIAL DRIVE, HOUGHTON, MI 49931
(904) 482-9404
(906) 483-0269
Mailing address
901 W MEMORIAL DRIVE, HOUGHTON, MI 49931
(904) 482-9404
(906) 483-0269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301062715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019786
—
MI
Enumeration date
09/06/2006
Last updated
01/30/2014
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