Individual
DR. SCOTT MICHAEL WILHELMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3404 NEWTON ST, JASPER, IN 47546-1020
(812) 556-5084
(812) 556-5086
Mailing address
310 W 6TH ST, JASPER, IN 47546-2718
(812) 996-0337
(812) 996-0223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042083A
IN
207NS0135X
Procedural Dermatology Physician
01042083A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090314
ANTHEM
IN
01
—
070006707
MEDICARE RAILROAD
IN
Enumeration date
06/22/2005
Last updated
01/08/2026
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