Provider Demographics
NPI:1851379713
Name:SCAER, HERBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:A
Last Name:SCAER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 W FRONT ST
Mailing Address - Street 2:STE G
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7941
Mailing Address - Country:US
Mailing Address - Phone:231-935-8822
Mailing Address - Fax:231-935-8837
Practice Address - Street 1:3537 W FRONT ST
Practice Address - Street 2:STE G
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7941
Practice Address - Country:US
Practice Address - Phone:231-935-8822
Practice Address - Fax:231-935-8837
Is Sole Proprietor?:No
Enumeration Date:2006-01-02
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032054208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1350863Medicaid
MIF10148Medicare UPIN
MI0287949Medicare ID - Type Unspecified