Individual
MATTHEW C. KEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
(715) 387-5240
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
(715) 387-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00020882
WA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
55074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136695
L & I
WA
01
—
4597KE
REGENCE
WA
01
—
8602971
CHPW
WA
05
—
8602971
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
10/13/2006
Last updated
04/18/2011
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