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Individual

DR. RALPH DAVID SCOLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
15855 NINETEEN MILE ROAD, EMERGENCY MEDICINE DEPARTMENT, CLINTON TWP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101012896
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158208095
BCBS
MI
05
11-4221734
MI
05
11-4221799
MI
05
11-4221805
MI
05
11-4221823
MI
05
11-4221832
MI
05
11-4221841
MI
05
11-4221860
MI
05
11-4221879
MI
05
11-4586190
MI
Enumeration date
01/06/2006
Last updated
04/06/2011
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