Individual
WILLIAM M SCOVELL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 HUGHES DR, SUITE 300, TOLEDO, OH 43606-3845
(419) 291-2121
(419) 479-6017
Mailing address
2121 HUGHES DR, SUITE 300, TOLEDO, OH 43606-3845
(419) 291-2121
(419) 479-6017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203188
ANTHEM
OH
01
—
000000216366
ANTHEM
MI
01
—
12-03664
UHC
OH
01
—
12-03688
UHC
MI
01
—
17008
HPM
OH
01
—
2246126
BCMH
OH
05
—
2246126
—
OH
01
—
3505802321
BCBS MI
MI
01
—
4061
PHC
OH
01
—
7775293
AETNA
OH
Enumeration date
08/25/2005
Last updated
11/03/2023
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