Individual
MR. MATTHEW T SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W VIRGINIA ST, STE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
(414) 255-3451
Mailing address
600 W VIRGINIA ST, STE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
(414) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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