Individual
MATTHEW NERSESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 N PORT WASHINGTON RD, FOX POINT, WI 53217-3131
(414) 228-0099
(414) 540-1065
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56874
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447575105
—
WI
Enumeration date
04/06/2010
Last updated
01/15/2018
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