Individual
DR. SCOTT MICHAEL ESHOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
(574) 647-2567
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01052998A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588533
BCBS E BLAIR WARNER
IN
05
—
200325710
—
IN
Enumeration date
10/12/2005
Last updated
04/01/2021
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