DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SCOTT MICHAEL DE WENTER, DPM

Active Sole Proprietor

DR. SCOTT MICHAEL DE WENTER, DPM is a Podiatrist healthcare provider located in LAKE ELSINORE, California. NPI 1376569194 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · LAKE ELSINORE, CA

Registration Details

NPI Number
1376569194
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2006 (20.071343427992 yrs)
Last Updated
Jul 8, 2007
License
E4080 (CA)
Sole Proprietor
Yes

Practice Information

Address
600 CENTRAL AVE
STE G
LAKE ELSINORE, CA, 925302740
Browse CA providers · Browse ZIP 92530
Phone
9512457472
Fax
9516741156
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.