Individual
DR. MANOJ MATHEW
Active
Individual
DR. MANOJ MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
59999-20
WI
171000000X
Military Health Care Provider
D0105915
MD
207QB0505X
Diabetology (Internal Medicine) Physician
D0105915
MD
207R00000X
Internal Medicine Physician
5999-20
WI
207R00000X
Internal Medicine Physician
D0105915
MD
2083A0100X
Aerospace Medicine Physician
Primary
59999-20
WI
2083A0100X
Aerospace Medicine Physician
D0105915
MD
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
59999-20
WI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
D0105915
MD
208D00000X
General Practice Physician
D0105915
MD
261QP2300X
Primary Care Clinic/Center
59999-20
WI
Other
Enumeration date
06/13/2011
Last updated
04/29/2026
Update your record
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