Individual
MATTHEW WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3399 - 23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972911600
—
WI
Enumeration date
07/25/2014
Last updated
04/27/2022
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