Individual
SCOTT A RICHARDS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO BOCP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5153
(715) 389-3023
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5153
(715) 389-3023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C50345
WI
174400000X
Specialist
Primary
CO003055
WI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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