Organization
NEW BERLIN MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DONALD MATTEUCCI SR. D.P.M. (PRESIDENT)
(414) 761-0981
Entity
Organization
Contact information
Practice address
15324 W BELOIT ROAD, NEW BERLIN, WI 53151
(414) 761-0981
(414) 761-1614
Mailing address
8153 S 27TH ST, SUITE 400, FRANKLIN, WI 53132-9549
(414) 304-5311
(414) 761-1614
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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