Individual
SCOTT DAVID SHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 E MAUMEE ST STE 303, ANGOLA, IN 46703-2044
(606) 675-1482
(260) 667-5689
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01069915A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201021740
—
IN
05
—
3160252
—
OH
Enumeration date
07/30/2007
Last updated
07/17/2025
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