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Individual

MATTHEW NATHAN WEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
721 AMERICAN AVE, SUITE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
(262) 549-0648
Mailing address
721 AMERICAN AVE, SUITE 403, WAUKESHA, WI 53188-5071
(262) 549-1516
(262) 549-0648

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50504-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35136500
WI
Enumeration date
02/08/2007
Last updated
12/01/2014
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