Weston, Matthew M

Weston, Matthew M is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Weston, Matthew M can be contacted via phone (262) 836-7300.

Contact Information

Primary practice address
3200 Pleasant Valley Rd West Bend WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 53124 Wisconsin

Profile Details

NPI number 1497973267
LBN Legal business name Weston, Matthew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Oct 7th, 2019 - about 5 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 1497973267 NPPES
Wisconsin MEDICAID 1497973267

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