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Individual

DR. SCOTT THOMAS ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020-03854
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301504261
MI

Other

Enumeration date
06/26/2013
Last updated
08/01/2025
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