NPI 1285105064

Mathew Lee Wibel, ABCCPED

Practitioner Pedorthist Little Chute, WI

Practice location

Address: 3 Saint Charles Pl, Little Chute, WI 54140-2256
Phone: (715) 307-9071

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Pedorthist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

Registry record

NPI: 1285105064
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2018
Record last updated: 5 Dec 2018

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.