Individual
WILLIAM G MATTHAEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N MAYFAIR RD, MILWAUKEE, WI 53226-3436
(262) 857-5750
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25992
WI
207RH0003X
Hematology & Oncology Physician
Primary
25992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30850600
—
WI
01
—
P00823727
RR MEDICARE
WI
Enumeration date
11/02/2005
Last updated
09/24/2024
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