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Individual

SCOTT POLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MT-BC

Contact information

Practice address
1339 3RD AVE N, ONALASKA, WI 54650-9130
(507) 513-2090
Mailing address
1339 3RD AVE N, ONALASKA, WI 54650-9130
(507) 513-2090

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10363
WI

Other

Enumeration date
10/07/2015
Last updated
10/07/2015
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