Dr. Emily Rose Mattoon, MD
Hospitalist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1982199808
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1982199808
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily Rose Mattoon
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 82165 | WI | Yes |
| 207R00000X | Internal Medicine | 82165 | WI |
Practice location
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-0812 · Fax 414-805-0855
Mailing address
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-0812 · Fax 414-805-0855
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