Individual
DR. GEORGE MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 744-4000
Mailing address
13450 DUNWOODY DR, ELM GROVE, WI 53122-1319
(414) 782-8083
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19203
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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