Individual
DR. MATHEW POTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8348 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3733
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015790
—
WI
Enumeration date
04/17/2008
Last updated
10/23/2025
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