Individual
SCOTT JANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
(414) 320-5129
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
(414) 320-5129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125064723
IL
207RC0000X
Cardiovascular Disease Physician
Primary
82068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246923
—
WI
Enumeration date
07/31/2014
Last updated
08/15/2024
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