Organization
SCOTT M HOMER DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HOMER DPM (PRESIDENT)
(248) 288-8900
Entity
Organization
Contact information
Practice address
27609 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-1833
(586) 294-7070
(586) 294-9481
Mailing address
615 W 14 MILE RD, CLAWSON, MI 48017-1901
(248) 288-8900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225496417
—
MI
Enumeration date
02/03/2016
Last updated
03/04/2024
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