Individual
DR. HARRY M MATSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-102419
—
IL
05
—
1629032115
—
NC
Enumeration date
04/13/2006
Last updated
12/02/2021
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