Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott Michael Pethan, MS, BSN, RN

Individual provider Clinical Exercise Physiologist · NPI 1598039943

Mr. Scott Michael Pethan, MS, BSN, RN is a Clinical Exercise Physiologist in Oshkosh, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2700 W 9th Ave Ste 107
Oshkosh, WI 54904-7247
Phone: (920) 236-1835
Fax: (920) 223-1182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X · Licence 136064-30 (WI)

Record details

NPI number1598039943
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , BSN , RN
Sole proprietorYes
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012

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