Individual
DR. MATTHEW THOMAS PELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
82072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871956219
—
WI
Enumeration date
04/02/2016
Last updated
07/21/2023
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