JOHN C MATTEUCCI JR MD SC

KENOSHA, WI
NPI1801080973
Entity TypeOrganization
Authorized ContactJOHN C MATTEUCCI
President
262-653-9221
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Enumeration Date2007-08-31
Last Update Date2007-08-31
Business Address
JOHN C MATTEUCCI JR MD SC
6127 GREEN BAY ROAD SUITE 600
KENOSHA, WI 53142-2973
Phone number: 262-653-9221
Mailing Address
JOHN C MATTEUCCI JR MD SC
6127 GREEN BAY ROAD SUITE 600
KENOSHA, WI 53142-2973
Phone number: 262-653-9221
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