Margaret I Scottberg PA

NPI 1669635868 - Physician Assistant - 363AS0400X

NPI Details
NPI 1669635868
Gender Female
Enumeration Date 07/08/2008
Last Updated 05/02/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
2301 N LAKE DR RM 1577
COLUMBIA ST MARY'S MS CLINIC
MILWAUKEE WI, 53211-4508, US
Phone (414) 291-1771
Fax (414) 291-1781
Business Location
4425 N PORT WASHINGTON RD
CLINIC CREDENTIALING
GLENDALE WI, 53212-1082, US
Phone (414) 326-2218
Fax (414) 326-2208
Toxanomy
Taxonomy Code 363AS0400X
License State Wisconsin
License Number 2298-23
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According to our database, Margaret I Scottberg PA NPI is 1669635868, taxonomy code is 363AS0400X and license number is 2298-23, license state is located at Wisconsin. Margaret I Scottberg PA physically located at 2301 N Lake Dr Rm 1577, Milwaukee WI, 53211-4508. NPI Number Margaret I Scottberg PA has the Individual type.

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1669635868 NPI number is provided on an as is basis without warranty of any kind. 1669635868 is maintained by the National Plan & Provider Enumeration System. The contents of Margaret I Scottberg PA are for informational purposes only.