Male or Other

Dr. Scott M. Wilhelmus M.D.

Dermatology Physician in Jasper, IN(View on Map)

Full Name

Dr. Scott Michael Wilhelmus M.D.

NPI Number

1346246527

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/22/2005

Specialties

(Taxonomies)

Code

207N00000X
207NS0135X

Primary Taxonomy

Yes
No

Licenses

State

Indiana

License Number

01042083A

Contact
Information

Purpose

Mailing
Location

Address

310 W 6TH ST
721 W 13TH ST STE 225

City

Jasper
Jasper

State

IN
IN

Postal Code

47546-2718
47546-1817

Country

US
US

Telephone Number

(812) 996-0337
(218) 996-0337

Identifiers

Identifier

070006707
000000090314

Identifier State

IN
IN

Identifier Issuer

MEDICARE RAILROAD
ANTHEM

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/15/2016

Provider Address