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Individual

DR. SCOTT R PESCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
Mailing address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25391
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30647600
WI
Enumeration date
08/28/2006
Last updated
03/07/2023
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