Individual
MATTHEW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3411 N 6TH ST, SHEBOYGAN, WI 53083-3104
(208) 874-2994
Mailing address
3411 N 6TH ST, SHEBOYGAN, WI 53083-3104
(208) 874-2994
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ATH.200397
LA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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