Individual
DR. SCOTT M ULREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
303 S 1ST ST, WATERTOWN, WI 53094-4405
(920) 261-0855
(920) 261-0940
Mailing address
303 S 1ST ST, WATERTOWN, WI 53094-4405
(920) 261-0855
(920) 261-0940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38760900
—
WI
01
—
391388868013
BLUE CROSS
WI
Enumeration date
07/20/2005
Last updated
08/20/2007
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