Individual
SCOTT D GITLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER & GERIATRICS CTR RECP B, ANN ARBOR, MI 48109-5911
(734) 936-6000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301048987
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301048987
MI
207RX0202X
Medical Oncology Physician
Primary
4301048987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017567
—
MI
Enumeration date
10/31/2006
Last updated
03/19/2012
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