Individual
DR. SCOTT ROBERT SCHINSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 496-4700
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
42344
WI
207Q00000X
Family Medicine Physician
Primary
42344-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203932743
TAX ID
WI
Enumeration date
09/14/2006
Last updated
10/17/2016
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