Doctor Name: | DR. SCOTT PAUL SHISLER |
NPI Number: | 1477551000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101014000 |
Business Practice Address: | 1100 S Van Dyke Bad Axe, MI - 48413 |
Business Phone Number: | 9892699521 |
Business Fax Number: | 9892698908 |
Mailing Address: | 1100 S Van Dyke, BAD AXE |
State: | MI |
Postal Code: | 48413 |
Phone Number: | 9892699521 |
Fax Number: | 9892691562 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 5101014000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |