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Individual

DR. MICHAEL JAMES SCANLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
162 MANSFIELD AVE APT A, WILLIMANTIC, CT 06226-2062
(860) 456-4250
(860) 456-3745
Mailing address
162 MANSFIELD AVE APT A, WILLIMANTIC, CT 06226-2062
(860) 456-4250
(860) 456-3745

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
650
CT

Other

Enumeration date
07/21/2005
Last updated
07/06/2022
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