Individual
DR. ROBERT D MATTEUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8153 S 27TH ST, SUITE 400, FRANKLIN, WI 53132-9549
(414) 761-0981
(414) 761-1614
Mailing address
8153 S 27TH ST, SUITE 400, FRANKLIN, WI 53132-9549
(414) 761-0981
(414) 761-1614
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016005168
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
881025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43237400
—
WI
Enumeration date
06/10/2005
Last updated
05/05/2010
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