Individual
GREGORY J MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9233 N GREEN BAY RD, BROWN DEER, WI 53209-1103
(414) 270-8150
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 270-8150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32337
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31730700
—
WI
Enumeration date
06/09/2006
Last updated
06/12/2012
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