Provider Demographics
NPI:1952448201
Name:SCOTT, PATRICK JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JOHN
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3454 LOSEY BLVD S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-7217
Mailing Address - Country:US
Mailing Address - Phone:608-785-0038
Mailing Address - Fax:608-782-5959
Practice Address - Street 1:3454 LOSEY BLVD S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-7217
Practice Address - Country:US
Practice Address - Phone:608-785-0038
Practice Address - Fax:608-782-5959
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2011-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI29582207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI207P00000XOtherTAXONOMY CODE
WI29582OtherSTATE LICENSE NUMBER
WI29582OtherSTATE LICENSE NUMBER