Individual
ROBERT MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 HIGH ST, MINERAL POINT, WI 53565-1289
(608) 987-2346
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42474
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34072800
—
WI
Enumeration date
10/02/2006
Last updated
01/11/2021
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