Individual
MATTHEW A BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44798-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34677700
—
WI
Enumeration date
11/29/2006
Last updated
11/16/2011
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