Individual
DALE C SCARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 ELM PARK AVE, PLEASANT RIDGE, MI 48069-1009
(248) 854-8355
Mailing address
99 ELM PARK AVE, PLEASANT RIDGE, MI 48069-1009
(248) 854-8355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301044941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4698660
—
MI
Enumeration date
03/05/2007
Last updated
11/28/2023
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