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Individual

MR. MATTHEW S. BAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-5901
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2387
WI
363AS0400X
Surgical Physician Assistant
2387-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100004237
WI
Enumeration date
02/25/2009
Last updated
08/04/2026
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