Mathias, David L

Mathias, David L is an individual health care provider with primary practice located at 2727 Plaza Dr , Wausau WI 54401-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mathias, David L can be contacted via phone (715) 847-3000.

Contact Information

Primary practice address
2727 Plaza Dr Wausau WI 54401-4129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43628 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053869A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48863-020 Wisconsin

Profile Details

NPI number 1295714723
LBN Legal business name Mathias, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 17th, 2022 - about 2 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 1295714723 NPPES
Wisconsin MEDICAID 34890700

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