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Individual

MATTHEW P BARNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(816) 665-7257
Mailing address
2301 N LAKE DR # RR, MILWAUKEE, WI 53211-4508
(414) 585-1000
(414) 259-1522

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
28
WI
367H00000X
Anesthesiologist Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508115767
WI
Enumeration date
09/04/2012
Last updated
02/14/2025
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