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Individual

MS. ANNE E MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC NEUROSURGERY, MILWAUKEE, WI 53226-4874
(414) 266-6435
(414) 955-0131
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC NEUROSURGERY, MILWAUKEE, WI 53226-4874
(414) 266-6435
(414) 955-0131

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
570
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000126G
HUMANA
05
1750334496
WI
Enumeration date
05/17/2006
Last updated
05/05/2014
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