MATRIX MEDICAL NETWORK OF WISCONSIN S.C. NPI 1235426461

NPI Information

MATRIX MEDICAL NETWORK OF WISCONSIN, S.C. is a family nurse practitioner in Milwaukee, WI. MATRIX MEDICAL NETWORK OF WISCONSIN, S.C. NPI is 1235426461. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Matrix Medical Network.

The provider's business location address is:

11414 W PARK PL STE 202
MILWAUKEE, WI
ZIP 53224-500
Phone: (480) 862-1706
Fax: (480) 718-7643

The provider's authorized official is Victoria Alvarez .
The authorized official title is Director, Credentialing and has the following contact phone number (480) 862-1695.

The enumeration date for this NPI number is 7/8/2011 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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