Individual
DR. MATTHEW MOKROHISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10625 W NORTH AVE, SUITE 102, WAUWATOSA, WI 53226-2315
(414) 877-5351
(414) 877-5360
Mailing address
10625 W NORTH AVE, SUITE 102, WAUWATOSA, WI 53226-2315
(414) 877-5351
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63849-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
TRN17635
FL
Other
Enumeration date
06/27/2012
Last updated
06/26/2015
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