MEDICARE: SCOTT T. MONSON, M.D. P.C.

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
1	207X00000X	Orthopaedic Surgery Physician	4301040712	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1760790638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT T. MONSON, M.D. P.C.

Provider Business Mailing Address
First Line	:	20380 HARPER AVENUE
Second Line	:
City	:	HARPER WOODS
State	:	MI
Zip	:	58225-1643
Country	:	US
Telephone Number	:	313-881-4510
Fax Number	:	313-881-1177

Provider Business Practice Location Address
First Line	:	20380 HARPER AVENUE
Second Line	:
City	:	HARPER WOODS
State	:	MI
Zip	:	58225-1643
Country	:	US
Telephone Number	:	313-881-4510
Fax Number	:	313-881-1177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT THOMAS MONSON
Credential	:	M.D.
Telephone Number	:	313-881-4510

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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