Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW R. THEADO, M.D.
ActiveMATTHEW R. THEADO, M.D. is a Pediatrics healthcare provider located in DE PERE, Wisconsin. NPI 1235149139 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · DE PERE, WI
Registration Details
- NPI Number
- 1235149139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.969964005059 yrs)
- Last Updated
- Oct 11, 2011
- License
-
39636 (WI)
Practice Information
- Address
-
555 REDBIRD CIRSUITE 200DE PERE, WI, 541157977Browse WI providers · Browse ZIP 54115
- Phone
- 9203386820
- Fax
- 9203386829
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in DE PERE, WI
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD D BAYER | MD | 1891789657 |
| KAREN M CAMILLI | MD | 1619951498 |
| SHERRI L HOYMAN | DO | 1629052469 |
| WILLIAM JOSEPH KELLNER | MD | 1841274693 |
| SCOTT G ZAHN | MD | 1407830011 |
| DR. LAURA JEAN GALLISTEL | D.O. | 1013997121 |
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.