Individual
MEGAN E MATICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
68581
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104231190
—
WI
Enumeration date
06/27/2014
Last updated
09/17/2019
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