Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | IL | |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 30021689 | OH |
N | 204E00000X | Oral & Maxillofacial Surgeon | IL | |
N | 204E00000X | Oral & Maxillofacial Surgeon | 35085671 | OH |
NPI | 1003987645 |
---|---|
Provider Name | Dr. Michael Scott Scherer |
First Address | Wheaton, IL 60187-5574 |
Second Address | Wheaton, IL 60187-5574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |