Individual
DR. MATTHEW MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7861 STATE ROAD 60, CEDARBURG, WI 53012-9305
(262) 546-1050
(262) 546-1051
Mailing address
7861 STATE ROAD 60, CEDARBURG, WI 53012-9305
(262) 546-1050
(262) 546-1051
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0000047617
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194253484
—
IA
Enumeration date
05/31/2017
Last updated
07/11/2023
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