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SCOTT A RANDALL M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1144395823

Individual Registrant:
 SCOTT A RANDALL M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
145 5TH NE  GLADSTONE, MI 49837 US
Tel: 906-428-3273  Fax: 906-428-1881

Contact information for business:
145 5TH NE  GLADSTONE, MI 49837 US
Tel: 906-428-3273  Fax: 906-428-1881

Registration Information:
NPI: 1144395823
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MI4301072797

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4691697MI05
1144395823MI05




HEALTH CARE JOBS MI - Page 1



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