Individual
MATTHEW JOHN CHALOUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N3860 ORCHARD LN, KEWAUNEE, WI 54216-9214
(920) 255-4165
Mailing address
N3860 ORCHARD LN, KEWAUNEE, WI 54216
(920) 255-4165
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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