Individual
MATTHEW MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9555 76TH ST STE 3880, PLEASANT PRAIRIE, WI 53158-1984
(626) 563-6502
Mailing address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 577-8522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69201
WI
207RI0011X
Interventional Cardiology Physician
Primary
69201
WI
Other
Enumeration date
04/03/2016
Last updated
08/12/2024
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