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NPI Code Detail

MEDICARE: DR. THOMAS SCOTT EMERSON M.D.

MEDICARE: DR. THOMAS SCOTT EMERSON M.D.
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
1207P00000XEmergency Medicine Physician4301038274MI
2208D00000XGeneral Practice Physician4301038274MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24301038274OTHERMIMICHIGAN LICENSE NUMBER

General Provider Information

NPI Number : 1447233093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS SCOTT EMERSON M.D.
Provider Business Mailing Address
First Line : 4602 DEPT
Second Line :
City : CAROL STREAM
State : IL
Zip : 60122-0021
Country : US
Telephone Number : 888-674-0854
Fax Number : 906-225-3370
Provider Business Practice Location Address
First Line : 420 W MAGNETIC ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2711
Country : US
Telephone Number : 888-674-0854
Fax Number : 906-225-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 04/28/2009

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