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1003996158
QUENTIN MATTERN
MILWAUKEE, WI
NPI
1003996158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 44079)
Enumeration Date
2006-10-16
Last Update Date
2011-05-26
Business Address
-- QUENTIN MATTERN MD
2320 N LAKE DR ROOM 3603
MILWAUKEE, WI 53211-4507
Phone number: 414-270-4932
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Mailing Address
-- QUENTIN MATTERN MD
4425 N PORT WASHINGTON RD ATTN: CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-270-4932
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