Most Relevant Information
Provider Data
| NPI Number: | 1003221052 |
| Provider Name: | GREG SCOTT REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 114407-030 |
Most Important Dates
| Enumeration Date: | 06/29/2014 |
| Last Updated: | 06/29/2014 |
Provider Practice Location
N2722 TEN CROSSING RD
OGEMA
WI
544598170
Practice Location Phone/Fax
| Phone: | 7157675250 |
| Fax: |
Provider Mailing Location
N2722 TEN CROSSING RD
OGEMA
WI
544598170
Provider Mailing Phone/Fax
| Phone: | 7157675250 |
| Fax: |