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Dr. Scott A Hathaway, DO
Emergency Medical Services (Emergency Medicine) Physician in Shawano, Wisconsin
NPI 1669563763

Scott A Hathaway is a Emergency Medical Services (Emergency Medicine) Physician based in Shawano, WI and is specialized in Emergency Medical Services. Scott A Hathaway practices in Shawano, WI and has the professional credentials of DO. The NPI Number for Scott A Hathaway is 1669563763 and holds a License No. 36307 (Wisconsin).

The current practice location address for Scott A Hathaway is 309 N Bartlett St, Shawano, WI and can be reached out via phone at 715-526-2111 and via fax at 715-526-9174.

Location: 309 N Bartlett St, Shawano, WI, 54166-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669563763
Provider Name
Scott A Hathaway
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
309 N Bartlett St, Shawano, WI, 54166-2127
Phone Number
715-526-2111
Fax Number
715-526-9174
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30064500 05 WI
institution
Provider Business Practice Location Address Details
Address
309 N Bartlett St
City
Shawano
State
Wisconsin
Zip
54166-2127
Phone Number
715-526-2111
Fax Number
715-526-9174
person
Provider Business Mailing Address Details
Address
309 N Bartlett St
City
Shawano
State
Wisconsin
Zip
54166-2127
Phone Number
715-526-2111
Fax Number
715-526-9174
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
36307 (Wisconsin)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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