Individual
MATTHEW MAKSIMOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 476-4701
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5580
(414) 476-4701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
83952
WI
208000000X
Pediatrics Physician
83952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225579410
—
WI
Enumeration date
03/20/2017
Last updated
08/08/2024
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