Individual
MATTHEW WALTER MACIEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
303 HAKE ST, FORT ATKINSON, WI 53538-1212
(920) 563-2136
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(920) 563-2136
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1378-25
WI
213E00000X
Podiatrist
Primary
5951001485
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/23/2023
Last updated
08/03/2026
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