Individual
MR. SCOTT R BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
E1557 GRANDVIEW RD, WAUPACA, WI 54981-9141
(715) 256-0429
Mailing address
E1557 GRANDVIEW RD, WAUPACA, WI 54981-9141
(715) 256-0429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2831-012
WI
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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