Individual
CHRISTY JEAN MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
567 RANGE LINE RD, WABENO, WI 54566-9025
(715) 889-0601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7261-23
WI
Other
Enumeration date
03/06/2023
Last updated
03/20/2024
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