Individual
MATTHEW CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Mailing address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
75197
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174643
—
WI
Enumeration date
04/26/2017
Last updated
05/31/2024
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