Individual
JAMES D MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Mailing address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26427-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851358006
—
WI
Enumeration date
04/28/2006
Last updated
12/10/2020
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