Individual
MATTHEW PERCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2626 N WAUWATOSA AVE, WAUWATOSA, WI 53213-1137
(414) 774-7794
(414) 607-6971
Mailing address
101 W BROWN DEER RD, BAYSIDE, WI 53217-2316
(414) 446-4469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4033-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40194700
—
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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