Individual
DR. DEZERAY CLARE MATOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12961 27TH AVE, CHIPPEWA FALLS, WI 54729-5699
(715) 738-3700
Mailing address
12961 27TH AVE, CHIPPEWA FALLS, WI 54729-5699
(715) 738-3700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6503-33
WI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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