Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 57226 | WI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 57226 | WI |
NPI | 1134382609 |
---|---|
Provider Name | Dr. Matthew M Kalscheur |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2008 |
Last Update Date | 26/01/2021 |