Individual provider · Type 1 NPI
Michael James Scanlon, DPM
Foot Surgery Podiatrist · Willimantic, CT
NPI number
1447250352
Active
Practice location
162 Mansfield Ave Apt A
Willimantic, CT 06226-2062
Fax (860) 456-3745
Other practice locations
- 1 Royce Cir, Storrs, CT 06268-2260 · (860) 678-4250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 650 (CT) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1447250352
Michael James Scanlon, DPM's National Provider Identifier is 1447250352, issued on Jul 21, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Willimantic, CT. The record was last updated on Jul 6, 2022.