Search › Wisconsin › 207R00000X
Randy Mathewson, M.D
NPI 1477654002 · on the registry since 2006
Practice
- Address
- 6601 Northway # D
Greendale, WI 53129 - Phone
- (414) 423-0555
- Fax
- (414) 423-8268
- Organisation at this address
- Greendale Medical Clinic, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin