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Individual

SCOTT BEHRENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 2ND ST, STE A107, NEENAH, WI 54956-2883
(920) 729-3332
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(920) 729-3332

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22621-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30376300
WI
Enumeration date
10/04/2005
Last updated
10/31/2007
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