Individual
MICHAEL B SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 969-2900
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 969-2900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01031177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359750
—
IN
01
—
160050663
RAIL ROAD MEDICARE
IN
Enumeration date
10/25/2005
Last updated
05/11/2017
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