Individual
DR. SCOTT RUSSELL MCGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Contact information
Practice address
8569 GEORGE, CENTER LINE, MI 48015-1733
(586) 246-5041
Mailing address
8569 GEORGE, CENTER LINE, MI 48015-1733
(586) 246-5041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307034
MI
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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