Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 5777 | NE |
NPI | 1205839438 |
---|---|
Provider Name | Dr. Scott A Trapp |
First Address | Cadillac, MI 49601-8833 |
Second Address | Cadillac, MI 49601-2589 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 08/07/2007 |