JOHN C MATTEUCCI JR MD SC NPI 1801080973

NPI Information

JOHN C MATTEUCCI JR MD SC is an urology in Kenosha, WI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. JOHN C MATTEUCCI JR MD SC NPI is 1801080973. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6127 GREEN BAY ROAD
SUITE 600
KENOSHA, WI
ZIP 53142-973
Phone: (262) 653-9221
Fax: (262) 653-9229

The provider's authorized official is John C Matteucci .
The authorized official title is President and has the following contact phone number (262) 653-9221.

The enumeration date for this NPI number is 8/31/2007 and was last updated on 8/31/2007.

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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