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NPI Code Detail

MEDICARE: RANGER SCARCELLO

MEDICARE: RANGER SCARCELLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1780382135
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANGER SCARCELLO
Provider Business Mailing Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-756-3933
Fax Number :
Provider Business Practice Location Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-467-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2023
Last Update Date : 12/08/2025

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Directions to “ RANGER SCARCELLO ” Practice Location

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