NPI 1235149139

Matthew R. Theado, MD

Practitioner Pediatrics Physician De Pere, WI

Practice location

Address: 555 Redbird Cir Suite 200, De Pere, WI 54115-7977
Phone: (920) 338-6820
Fax: (920) 338-6829

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 39636 (WI)

Other Pediatrics providers in Wisconsin →

Registry record

NPI: 1235149139
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 11 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.