Individual
COLLEEN M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22905 W MAIN ST, ARMADA, MI 48005-3247
(586) 473-8082
(586) 473-8129
Mailing address
22905 W MAIN ST, P.O.BOX 536, ARMADA, MI 48005-3247
(585) 864-7380
(586) 473-8129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014932
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-5501196-4
BCBS PIN
MI
01
—
2515930
UNITED HEALTHCARE
MI
05
—
4865992
—
MI
05
—
4961907
—
MI
01
—
700E012740
BCBSM GROUP NUMBER
MI
01
—
700E031600
BCBS GROUP NUMBER
MI
01
—
7852659
AETNA
MI
Enumeration date
07/07/2006
Last updated
02/17/2016
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