Individual
MATTHEW MICHAEL GEVELINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W180N11070 RIVER LN, GERMANTOWN, WI 53022-3109
(262) 535-8400
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
336.113353
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
81954
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243325
—
WI
Enumeration date
05/10/2016
Last updated
08/16/2023
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