Individual
MR. MATTHEW RYAN MABIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
429 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9385
(608) 839-3335
(608) 839-3336
Mailing address
2108 UPHOFF RD, COTTAGE GROVE, WI 53527-9475
(608) 347-5420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12888
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12888-040
STATE PHARMACIST LICENSE
WI
Enumeration date
06/14/2006
Last updated
08/29/2025
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