Individual
DR. SCOTT CARLSON SCHENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301078033
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301078033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4753969
—
MI
Enumeration date
01/20/2006
Last updated
11/20/2018
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