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Individual

HELEN SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2080 44TH ST SE, KENTWOOD, MI 49508-5010
(616) 685-8100
(616) 455-5052
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059896
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3403901
MI
05
3415840
MI
05
3489076
MI
05
4106572
MI
05
4878300
MI
Enumeration date
05/25/2006
Last updated
12/13/2021
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