Walters, Matthew P
Walters, Matthew P is an individual health care provider with primary practice located at 2845 Greenbrier Road , Green Bay WI 54311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Walters, Matthew P can be contacted via phone (920) 288-4746.Contact Information
Primary practice address
2845 Greenbrier Road
Green Bay WI 54311
Phone: (920) 288-4746
Fax: (920) 288-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 53509 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 104878 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 51649-20 | Wisconsin |
Profile Details
| NPI number | 1497835862 |
|---|---|
| LBN Legal business name | Walters, Matthew P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Dec 30th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497835862 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
Popular Providers
-
Brady, John G
744 S Webster Ave , Green Bay WI 54301-3505 -
Dais, Charles F
835 S Van Buren St , Green Bay WI 54301-3526 -
Guo, Ziwen
744 S Webster Ave , Green Bay WI 54301-3505 -
Chamberlain, Timothy L
2845 Greenbrier Rd , Green Bay WI 54311-6519 -
Kouzov, Eugeni T
835 S Van Buren St , Green Bay WI 54301-3526 -
Cai, Jiaxin
744 S Webster Ave , Green Bay WI 54301-3505 -
Holzman, Paul R
1726 Shawano Ave , Green Bay WI 54303-3216 -
Kennedy, Denise A
744 S Webster Ave , Green Bay WI 54301-3505