Provider Demographics
NPI:1275289605
Name:DUEHNING, MATTHEW ARTHUR
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:ARTHUR
Last Name:DUEHNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 W MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SPRING GREEN
Mailing Address - State:WI
Mailing Address - Zip Code:53588-8056
Mailing Address - Country:US
Mailing Address - Phone:608-459-0751
Mailing Address - Fax:
Practice Address - Street 1:247 W MONROE ST
Practice Address - Street 2:
Practice Address - City:SPRING GREEN
Practice Address - State:WI
Practice Address - Zip Code:53588-8056
Practice Address - Country:US
Practice Address - Phone:608-459-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WID5525418028505OtherDRIVERS LICENSE