Individual
DR. MATTHEW J. BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6699
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57622-021
WI
207XS0106X
Orthopaedic Hand Surgery Physician
57622-021
WI
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
57622-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972738615
—
WI
Enumeration date
05/26/2009
Last updated
04/26/2021
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