Individual
MATTHEW MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-7500
Mailing address
255 BUNKER HILL DR, BROOKFIELD, WI 53005-7905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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