Individual
SCOTT A MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101026380
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5101026380
MI
Other
Enumeration date
03/06/2014
Last updated
08/10/2022
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