Individual
DR. AILESE ANN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST, SUITE M-170, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Mailing address
601 JOHN ST, SUITE M-170, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301092047
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301092047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103907202
BCBS
MI
05
—
1720247851
—
MI
Enumeration date
06/04/2008
Last updated
11/27/2023
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