Individual
DONALD J SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4069 LAKE DR SE, SUITE 117, GRAND RAPIDS, MI 49546-8816
(616) 459-4601
(616) 459-0200
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DS039516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104745635
—
MI
05
—
1548334576
—
MI
01
—
1558407189
SPECTRUM HEALTH CORP NPI
MI
01
—
DS039516
BCBS
MI
Enumeration date
11/20/2006
Last updated
01/31/2011
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