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Individual

MATTHEW DAVID REUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13301-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407564149
WI
Enumeration date
11/11/2022
Last updated
04/07/2023
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