Individual
MATTHEW MICHAEL STOPPENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Mailing address
2617 DUBLIN WAY, WAUNAKEE, WI 53597-9033
(262) 492-1391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8353-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2024
Last updated
05/17/2025
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