Organization
ARBOR INTERNAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN SCHOLL M.D. (PROVIDER)
(734) 973-4800
Entity
Organization
Contact information
Practice address
1950 MANCHESTER RD, ANN ARBOR, MI 48104-4993
(734) 973-4800
(734) 973-4810
Mailing address
1950 MANCHESTER RD, ANN ARBOR, MI 48104-4993
(734) 973-4800
(734) 973-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CF046469
MI
207R00000X
Internal Medicine Physician
Primary
JS040970
MI
207R00000X
Internal Medicine Physician
PS065397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N70350
MEDICARE GRP PIN
MI
01
—
110H11004
BCBS MI GRP PIN
MI
05
—
4543451
—
MI
05
—
4543460
—
MI
05
—
4552862
—
MI
Enumeration date
11/21/2006
Last updated
09/23/2014
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