Individual
DR. MATTHEW LITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7707 94TH AVE, PLEASANT PRAIRIE, WI 53158-1955
(262) 597-1042
Mailing address
5518 40TH AVE, KENOSHA, WI 53144-2742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
360735
WI
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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