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Individual

MATTHEW CHINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, DEPT OF EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.122875
OH
207P00000X
Emergency Medicine Physician
Primary
63608
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124318282
WI
Enumeration date
04/11/2011
Last updated
05/01/2018
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