Individual
MATEUSZ GWIZDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
(262) 626-4616
Mailing address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
(262) 626-4616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75766-20
WI
Other
Enumeration date
06/01/2018
Last updated
04/07/2026
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