Search › Wisconsin › 171100000X
Scott Martin, MSOM
NPI 1447483102 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1807 E Olive St Apt 204
Shorewood, WI 53211 - Phone
- (414) 241-3061
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin