# WILLIAM SCOTT DOUGHERTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548298789
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 37353 | WI | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104236924 | — | MI |
| 05 | — | 104386144 | — | MI |
| 05 | — | 32215300 | — | WI |
| 01 | — | 340015990 | RAILROAD | WI |
| 01 | — | 3402100631 | BCBS | MI |