Quentin Mattern MD

NPI 1003996158 - Family Medicine - 207Q00000X

NPI Details
NPI 1003996158
Gender Male
Enumeration Date 10/16/2006
Last Updated 05/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2320 N LAKE DR
ROOM 3603
MILWAUKEE WI, 53211-4507, US
Phone (414) 270-4932
Fax
Business Location
4425 N PORT WASHINGTON RD
ATTN: CLINIC CREDENTIALING
GLENDALE WI, 53212-1082, US
Phone (414) 270-4932
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 44079
Remove 1003996158 NPI Number
 

According to our database, Quentin Mattern MD NPI is 1003996158, taxonomy code is 207Q00000X and license number is 44079, license state is located at Wisconsin. Quentin Mattern MD physically located at 2320 N Lake Dr, Milwaukee WI, 53211-4507. NPI Number Quentin Mattern MD has the Individual type.

Sponsored links

1003996158 NPI number is provided on an as is basis without warranty of any kind. 1003996158 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin Mattern MD are for informational purposes only.