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SCOTT A RANDALL M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1144395823
Individual Registrant: SCOTT A RANDALL M.D.
Gender: M
Not Sole Proprietor
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
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
Tel: 906-428-3273 Fax: 906-428-1881
Registration Information:
NPI: 1144395823
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MI | 4301072797 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 4691697 | MI | 05 | |
| 1144395823 | MI | 05 |
