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Individual

SCOTT ALLEN MUENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4560
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-6089
(920) 430-4560

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403630000
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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