Individual
DR. TARA LONG SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
29425 NORTHWESTERN HWY, STE 125, SOUTHFIELD, MI 48034-1083
(248) 557-6500
(248) 557-2781
Mailing address
29425 NORTHWESTERN HWY, STE 125, SOUTHFIELD, MI 48034-1083
(248) 557-6500
(248) 557-2781
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TS001844
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16951
M CARE
MI
05
—
4842666
—
MI
01
—
5889627
AETNA
MI
01
—
61783
OMNI CARE
MI
01
—
P00292714
RAILROAD MEDICARE
MI
01
—
TS001844
BLUE CROSS BLUE CARE NET
MI
01
—
U76095
HAP
MI
Enumeration date
07/07/2006
Last updated
12/01/2016
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