Individual
MATTHEW H. PECHERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
93
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114354677
—
WI
05
—
PENDING
—
MO
Enumeration date
09/30/2013
Last updated
07/21/2022
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