SCOT RANDALL

CHARLOTTE, MI
NPI1881611465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  SR011391)
Enumeration Date2006-07-17
Last Update Date2012-06-11
Business Address
-- SCOT RANDALL DO
111 LANSING ST SUITE 100
CHARLOTTE, MI 48813-2400
Phone number: 517-541-5962
Mailing Address
-- SCOT RANDALL DO
321 E HARRIS ST
CHARLOTTE, MI 48813-1629
Phone number: 517-543-1050