Individual
NICHOLAS MATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1195
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9387
NE
Other
Enumeration date
04/06/2022
Last updated
04/04/2023
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