Individual
DEBRA LEE MATZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC.
Contact information
Practice address
8736 W NORTH AVE, WAUWATOSA, WI 53226-2724
(414) 431-5010
(414) 431-5010
Mailing address
8736 W NORTH AVE, WAUWATOSA, WI 53226-2724
(414) 431-5010
(414) 431-5010
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
283-055
WI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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