Individual
DR. SCOTT JAMES MINNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8201 N CROSWELL RD, SAINT LOUIS, MI 48880-9210
(989) 681-4362
Mailing address
8201 N CROSWELL RD, SAINT LOUIS, MI 48880-9210
(989) 681-4362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015172
MI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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