Individual
DR. JEREMY ASHTON SCARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2124 KOHLER MEMORIAL DR STE 110, SHEBOYGAN, WI 53081-3174
(920) 204-6758
(888) 720-0495
Mailing address
DEPT CH 17057, PALATINE, IL 60055-7057
(920) 204-6758
(888) 720-0495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
51385-020
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51385-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011103
—
MO
05
—
35113200
—
WI
Enumeration date
07/06/2006
Last updated
12/22/2021
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