Individual
DR. SCOTT I SIRCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301053931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0783643
CIGNA
MI
01
—
103474
PRIORITY HEALTH
MI
01
—
4137015
AETNA
MI
01
—
E50390
HAP
MI
01
—
P00321784
RAILROAD MEDICARE
MI
Enumeration date
10/14/2005
Last updated
07/21/2022
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