Michael Scanlon

NPI #1669529954 in Willimantic, Connecticut

Provider Information

NPI Number: 1669529954
Entity Type: Organization
Organization Name: Michael Scanlon
Subpart: Yes (part of a larger organization)
Parent Organization: MICHAEL SCANLON
Primary Specialty: Podiatrist
Enumeration Date: Jan 5, 2007
Last Updated: Nov 15, 2007

Practice Location

Address: 162 MANSFIELD AVE # A
City: Willimantic
State: Connecticut
ZIP Code: 06226-2041
Phone: (860) 456-4250

Authorized Official

Name: DR. MICHAEL JAMES SCANLON, DPM
Title: PHYSICIAN/OWNER
Phone: (860) 657-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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DR. Karla Renee Scanlon, DPM	Podiatrist	Willimantic	AI Deep Dive
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