Individual
MATAS MORKEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119145
IL
207R00000X
Internal Medicine Physician
54585-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
54585-20
WI
207RP1001X
Pulmonary Disease Physician
Primary
01088650A
IN
207RP1001X
Pulmonary Disease Physician
54585-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32854200
—
WI
Enumeration date
12/15/2007
Last updated
12/18/2023
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