Individual
MATTHEW R DANZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 N 92ND ST STE 330, MILWAUKEE, WI 53226-4875
(414) 266-6575
(303) 724-2818
Mailing address
999 N 92ND ST STE 330, MILWAUKEE, WI 53226-4875
(414) 266-6575
(303) 724-2818
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
72788-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900131596
—
CO
Enumeration date
05/18/2015
Last updated
05/27/2020
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