NPI 1316108475

Matthew S Marcus, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Kenosha, WI

Practice location

Address: 7401 104th Ave STE 110, Kenosha, WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 036-132087 (IL)

Other Orthopaedic Surgery providers in Wisconsin →

Registry record

NPI: 1316108475
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2008
Record last updated: 22 Jan 2025

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.