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Individual
MR. SCOTT MICHAEL PETHAN
Active
Individual
MR. SCOTT MICHAEL PETHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
136064-30
WI
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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