Individual
DR. EDUARDO SCHOLCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188-3771
(262) 548-6903
(262) 548-3820
Mailing address
10000 W INNOVATION DR, SUITE 300, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036092014
IL
207Q00000X
Family Medicine Physician
Primary
55192
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036092014
STATE LICENSE
IL
05
—
036092014
—
IL
05
—
1669457214
—
WI
Enumeration date
12/07/2005
Last updated
01/28/2011
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