Individual
THOMAS JAMES MATELJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6936 WILLOWBROOK RD, RACINE, WI 53402-1464
(262) 664-5727
(262) 681-2173
Mailing address
6936 WILLOWBROOK RD, RACINE, WI 53402-1464
(262) 664-5727
(262) 681-2173
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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