MATTHEW DAVID AMIDON

MILWAUKEE, WI
NPI1164834735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WI  67233)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125.064656)
Enumeration Date2014-05-29
Last Update Date2020-07-28
Business Address
MATTHEW DAVID AMIDON D.O.
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-3360
Mailing Address
MATTHEW DAVID AMIDON D.O.
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-3360