Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DAVID AMIDON, D.O.
ActivePediatrics · MILWAUKEE, WI
Registration Details
- NPI Number
- 1164834735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2014 (11.896673057377 yrs)
- Last Updated
- Jul 28, 2020
- Licenses
-
125.064656 (IL)67233 (WI)
Practice Information
- Address
-
9000 W WISCONSIN AVEMILWAUKEE, WI, 532264874Browse WI providers · Browse ZIP 53226
- Phone
- 4142663360
- Fax
- 4142663563
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| REMEDIOS SENORA ALCERA-POE | M.D. | 1891799284 |
| EMILIA ISABEL ARANA | M.D. | 1144225871 |
| SANDRA M ARCE-GARZON | M.D. | 1669477394 |
| JOHN MATTHEW DUNN | M.D. | 1093710543 |
| FRANCISCO JAVIER ENRIQUEZ | M.D. | 1952306441 |
| DAVID A WATERS | M.D. | 1467458810 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.