Individual
DR. MICHAEL J SCANAMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 286-8888
(765) 747-7962
Mailing address
200 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 286-8888
(765) 747-7962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01053731
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200319090
—
IN
Enumeration date
11/22/2005
Last updated
03/29/2021
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