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NPI Code Detail

MEDICARE: MATTHIAS STUTZ & ASSOCIATES S.C.

MEDICARE: MATTHIAS STUTZ & ASSOCIATES S.C.
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
11041C0700XClinical Social Worker6113-123WI

General Provider Information

NPI Number : 1881639672
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATTHIAS STUTZ & ASSOCIATES S.C.
Provider Business Mailing Address
First Line : 1219 N CASS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2770
Country : US
Telephone Number : 414-221-0022
Fax Number :
Provider Business Practice Location Address
First Line : 1219 N CASS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2770
Country : US
Telephone Number : 414-221-0022
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL JOHN MATTHIAS
Credential : LCSW
Telephone Number : 414-221-0022
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/09/2014

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Directions to “MATTHIAS STUTZ & ASSOCIATES S.C. ” Practice Location

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