Individual
DR. DAVID J. SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2350 32ND ST SE, KENTWOOD, MI 49508-7901
(616) 243-0007
(616) 243-0540
Mailing address
2350 32ND ST SE, KENTWOOD, MI 49508-7901
(616) 243-0007
(616) 243-0540
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901002566
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4350446
—
MI
01
—
900D16575
BLUE CROSS/BLUE SHIELD OF MI
MI
Enumeration date
11/15/2006
Last updated
07/22/2008
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