Individual
DAVID W MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 310, GREEN BAY, WI 54311-6519
(920) 288-8300
(920) 288-8305
Mailing address
2845 GREENBRIER RD STE 310, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-8300
(920) 288-8305
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25354
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104625127
—
MI
05
—
30598200
—
WI
01
—
P00274737
RAILROAD
WI
Enumeration date
06/28/2006
Last updated
07/06/2017
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