Dahlgren, Matthew Alan

Dahlgren, Matthew Alan is an individual health care provider with primary practice located at 1311 S Lincoln St , Elkhorn WI 53121-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dahlgren, Matthew Alan can be contacted via phone (262) 723-4600.

Contact Information

Primary practice address
1311 S Lincoln St Elkhorn WI 53121-4375
Fax: (262) 723-4710
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48956-020 Wisconsin

Profile Details

NPI number 1154371367
LBN Legal business name Dahlgren, Matthew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154371367 NPPES
Wisconsin MEDICAID 34667800

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