SearchWisconsin183500000X

Tony Matznick

NPI 1679826846 · on the registry since 2012

Practice

Address
1120 State Road 67
Kiel, WI 53042
Phone
(920) 894-3604
Organisation at this address
Shopko Stores Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-24

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