Individual
DOROTHY R MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
(715) 845-1977
Mailing address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
(715) 845-1977
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
14029330
WI
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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