Individual
MR. SCOTT C KOLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 W AMERICAN DR STE 100, NEENAH, WI 54956
(920) 722-7747
Mailing address
1265 W AMERICAN DR STE 100, NEENAH, WI 54956-1405
(920) 722-7747
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34239-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790745925
—
WI
Enumeration date
03/23/2006
Last updated
03/31/2023
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