Individual
DR. MATHEW BRYAN MERGENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
671 S GIBSON ST, MEDFORD, WI 54451-1631
(608) 790-5851
Mailing address
671 S GIBSON ST, MEDFORD, WI 54451-1631
(608) 790-5851
(715) 748-4565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
073539
IA
152W00000X
Optometrist
Primary
3359
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039841
—
WI
Enumeration date
05/20/2014
Last updated
01/07/2026
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