Individual
DR. MATTHEW ISAAC GOLDBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5727
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5727
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40134-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790771517
—
WI
Enumeration date
09/27/2005
Last updated
11/22/2019
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