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Individual

KEVIN B SCAMMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 W WASHINGTON STREET, GRAFTON, WI 53024
(262) 375-3700
(262) 376-6020
Mailing address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31910
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31685600
WI
Enumeration date
07/07/2006
Last updated
11/18/2021
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