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1215423504
MATTHEW JAMES DOLAN
GREEN BAY, WI
NPI
1215423504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4493-23)
Enumeration Date
2018-07-10
Last Update Date
2018-08-17
Business Address
MATTHEW JAMES DOLAN PA-C
1726 SHAWANO AVE
GREEN BAY, WI 54303
Phone number: 414-290-6720
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Mailing Address
MATTHEW JAMES DOLAN PA-C
111 E WISCONSIN AVE STE 2000
MILWAUKEE, WI 53202-4809
Phone number: 414-290-6720
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