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Contact Information

SCOTT J KANTOLA, MD
425 PINE RIDGE BLVD STE 200
WAUSAU, WI54401-4123
 Phone: 715-847-0075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SCOTT J KANTOLA · (Male)

NPI Number 1326211384
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2008
Last updated 04/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 54706
  • WI License # 61844
  • WI Medicaid 32907900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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