Individual
DR. SCOTT MATTHEW REABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 747-8856
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 322-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49726-020
WI
2085R0202X
Diagnostic Radiology Physician
M0232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34760900
—
WI
Enumeration date
10/02/2006
Last updated
03/20/2024
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