Individual
NATHAN R MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 W STATE ST, BURLINGTON, WI 53105-1739
(262) 763-7613
(262) 947-4996
Mailing address
675 W STATE ST, BURLINGTON, WI 53105-1739
(262) 763-7772
(262) 763-7002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
68043-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057672
—
WI
Enumeration date
04/02/2015
Last updated
08/18/2023
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