Provider Demographics
NPI:1487648028
Name:SCHOLNIK, AARON P (MD)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:P
Last Name:SCHOLNIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4602 DEPT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60122-0021
Mailing Address - Country:US
Mailing Address - Phone:906-225-3922
Mailing Address - Fax:906-225-4527
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 332
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2675
Practice Address - Country:US
Practice Address - Phone:906-225-3922
Practice Address - Fax:906-225-4527
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301030366207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0330534OtherBLUE CROSS BLUE SHIELD
MI3145576Medicaid
MIP00228130OtherRAILROAD MEDICARE
MIP00228130OtherRAILROAD MEDICARE
MI0M033000Medicare PIN