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NPI Code Detail

MEDICARE: MR. MATTHEW J. ORZEL PA

MEDICARE:  MR. MATTHEW J. ORZEL  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085002635IL
2363A00000XPhysician Assistant4751-23WI

General Provider Information

NPI Number : 1639215197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW J. ORZEL PA
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-4851
Country : US
Telephone Number : 414-771-6780
Fax Number : 414-238-2424
Provider Business Practice Location Address
First Line : 8500 75TH STREET
Second Line : SUITE 101
City : PLEASANT PRAIRIE
State : WI
Zip : 53158-2049
Country : US
Telephone Number : 414-771-6760
Fax Number : 414-238-2424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 05/05/2021

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Directions to “ MR. MATTHEW J. ORZEL PA” Practice Location

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