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Individual

DR. MATTIE MARY SANDRA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8423 HOLLY RD STE B, GRAND BLANC, MI 48439-2488
(810) 694-7095
(810) 694-7224
Mailing address
8423 HOLLY RD STE B, GRAND BLANC, MI 48439-2488
(810) 694-7095
(810) 694-7224

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301075129
MI
207VX0000X
Obstetrics Physician
4301075129
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0986090
HEALTH PLUS OF MICHIGAN
MI
01
099270
TOTAL HEALTH CARE
MI
01
10111740001
THE WELLNESS PLAN
MI
01
1692504601
BLUE CROSS BLUE SHIELD
MI
05
1972715977
MI
05
19727715977
MI
01
2076271
UNITED HEALTH CARE
MI
05
4123288
MI
01
C6735
MCARE
MI
01
P104137
BLUE CARE NETWORK
MI
Enumeration date
07/13/2006
Last updated
08/29/2023
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