Individual
MATTHEW JAMES DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4493-23
WI
Other
Enumeration date
07/10/2018
Last updated
08/17/2018
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