Individual
DR. MATTHEW ELI KLEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(800) 767-4411
Mailing address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(800) 767-4411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
215975
NY
2084P0800X
Psychiatry Physician
60018-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
215975
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
60018-20
WI
Other
Enumeration date
03/08/2007
Last updated
05/01/2013
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