Individual
DR. ROBERT A MATHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
N85W16033 APPLETON AVE, MENOMONEE FALLS, WI 53051-3088
(262) 251-1900
Mailing address
16800 WEST CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2688
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38603007
—
WI
01
—
WI2688
EYEMED VISION NO,
—
Enumeration date
04/19/2006
Last updated
01/29/2008
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