Healthcare Provider Details

I. General information

NPI: 1104866227
Provider Name (Legal Business Name): SCOTT ARTHUR MONTEITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 W 14TH ST SUITE 186
TRAVERSE CITY MI
49684-4051
US

IV. Provider business mailing address

526 W 14TH ST SUITE 186
TRAVERSE CITY MI
49684-4051
US

V. Phone/Fax

Practice location:
  • Phone: 231-775-3463
  • Fax: 231-929-2550
Mailing address:
  • Phone: 231-929-2550
  • Fax: 231-929-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301056509
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: