Individual
MR. THOMAS GERARD MATTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34428
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130010682
RAILROAD MEDICAER
WI
05
—
31956600
—
WI
Enumeration date
06/09/2006
Last updated
03/15/2012
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