Individual
DR. MATTHEW LAVIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL COLLEGE OF WISCONSIN, 8701 WATERTOWN PLANK RD., SURGICAL ONCOLOGY, MILWAUKEE, WI 53226
(414) 955-1777
(414) 955-0197
Mailing address
MEDICAL COLLEGE OF WISCONSIN, 8701 WATERTOWN PLANK RD., SURGICAL ONCOLOGY, MILWAUKEE, WI 53226
(414) 955-1777
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70980-20
WI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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