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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRK D SCATTERGOOD, MD

Active

KIRK D SCATTERGOOD, MD is a Sports Medicine (Emergency) healthcare provider located in GREEN BAY, Wisconsin. NPI 1790702652 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · GREEN BAY, WI

Registration Details

NPI Number
1790702652
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2006 (20.081247062616 yrs)
Last Updated
Jun 6, 2024
Licenses
36086 (WI)
36086 (WI)

Practice Information

Address
2253 W MASON ST STE 100
GREEN BAY, WI, 543034706
Browse WI providers · Browse ZIP 54303
Phone
9203277000
Fax
9203277005
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in GREEN BAY, WI

Name Credential NPI
DR. JEFFREY LAWRENCE SHERE MD 1629049481
BRIAN T PERKOVICH MD 1558381632
WEI-CHUAN WANG MD 1932218005
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.