Search › Wisconsin › 163W00000X
Scott Maxon
NPI 1942779608 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2345 Indy Ct
De Pere, WI 54115 - Phone
- (920) 857-8623
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-24
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