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Individual

JO NEL SCOVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 775-6076
(231) 775-0027

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JS011662
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080072897
RAILROAD MEDICARE
MI
01
0858300095
BCBS INDIVIDUAL
MI
01
0H36303
BLUE CROSS/SHIELD GROUP
MI
01
104374
PREFERRED CHOICE ID
MI
05
3167279
MI
05
4395949
MI
05
4395949-11
MI
Enumeration date
08/09/2005
Last updated
10/27/2008
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