Scott Kenneth Hetzel, MD

Internal Medicine Physician · Berlin, WI

Individual Active NPI

NPI number 1417444589

Practice location

225 Memorial Dr
Berlin, WI 54923-1243
Phone
(920) 361-5770

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NPI record

NPI
1417444589
Entity type
Individual (Type 1)
Enumeration date
April 15, 2018
Last updated
July 22, 2021
Certified
July 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 73446-20 WI
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone
(920) 361-5770
Fax
(920) 361-5779

Other practice locations (1)

  • 600 Highland Ave, Madison, WI 53792-0001 · (608) 263-6400

About Dr. Hetzel

Scott Kenneth Hetzel, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 225 Memorial Dr, Berlin, WI 54923-1243. The NPI number 1417444589 was assigned on April 15, 2018 and the record was last updated on July 22, 2021.

Dr. Hetzel lists a license in the registry: #73446-20 (WI) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Kenneth Hetzel, MD?

The NPI number is 1417444589.

What is the phone number of Dr. Hetzel?

The phone number listed for the practice location is (920) 361-5770.

Where is Dr. Hetzel located?

225 Memorial Dr, Berlin, WI 54923-1243.

What is the taxonomy code for Dr. Hetzel?

The primary taxonomy code is 207R00000X – Internal Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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