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General NPI Number Information
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NPI Number | 1679557011
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH SCOLIERI MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 885 S SAWBURG RD STE 105
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City | ALLIANCE
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State | OH
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Zip | 44601-5905
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Country | US
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Telephone | 330-823-1112
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Fax | 330-823-1139
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Provider Business Mailing Address
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Address Line | 7790 CEDAR PARK DR
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City | CANFIELD
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State | OH
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Zip | 44406-7700
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Country | US
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Telephone | 330-702-1860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35071
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 35-071577
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License Number State | OH
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