Individual provider · Type 1 NPI

Matthew James Dolan, PA-C

Physician Assistant · Green Bay, WI

NPI number 1215423504 Active

Practice location

1726 Shawano Ave
Green Bay, WI 54303

Fax (414) 290-6755

Mailing address

111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4809

Other practice locations

  • 835 S Van Buren St, Green Bay, WI 54301-3526 · (414) 290-6720

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4493-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215423504

Matthew James Dolan, PA-C's National Provider Identifier is 1215423504, issued on Jul 10, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 17, 2018.