Individual
MR. SCOTT MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, M.S.
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635
(574) 247-9441
(574) 247-9442
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
M242760115480
MI
363A00000X
Physician Assistant
Primary
10002442A
IN
363A00000X
Physician Assistant
5601007882
MI
Other
Enumeration date
12/02/2011
Last updated
09/05/2024
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