Male or Other

Dr. Matthew C. Scanlon MD

Pediatric Critical Care Medicine Physician in Milwaukee, WI(View on Map)

Full Name

Dr. Matthew C Scanlon MD

NPI Number

1801849278

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/18/2006

Specialties

(Taxonomies)

Code

2080P0203X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

37637

Contact
Information

Purpose

Mailing
Location

Address

9000 W WISCONSIN AVE
9000 W WISCONSIN AVE

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53226-4874
53226-4874

Country

US
US

Telephone Number

(414) 266-3360
(414) 266-3360

Identifiers

Identifier

1801849278
005006261C

Identifier State

WI
Unknown

Identifier Issuer

Unknown
HUMANA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/10/2014

Provider Address

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