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Individual

SCOTT A MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
134 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 261-6500
(920) 261-6107
Mailing address
N17W24100 RIVERWOOD DR STE 250, WAUKESHA, WI 53188-1177

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44871020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34510500
WI
Enumeration date
09/30/2005
Last updated
11/07/2011
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