Individual
MATTHEW SCHOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 3RD ST, GLENWOOD CITY, WI 54013-8509
(715) 977-1278
Mailing address
915 3RD ST, GLENWOOD CITY, WI 54013-8509
(715) 977-1278
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WZZXZ5784046
BLUECROSS BLUESHIELD
WI
Enumeration date
02/02/2017
Last updated
02/02/2017
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