Individual
DR. CORY J. MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45220-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34648900
—
WI
01
—
P00240864
RAIL ROAD MEDICARE
—
Enumeration date
11/30/2005
Last updated
06/04/2024
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