Individual
MATTHEW DAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8473-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373238
—
WI
Enumeration date
07/01/2022
Last updated
12/04/2025
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