Individual
MICHAEL MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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