Individual provider · Type 1 NPI
Jacob Todd Matulle, DO
Diagnostic Radiology Physician · Madison, WI
NPI number
1295312072
Active
Practice location
600 Highland Ave
Madison, WI 53792-0001
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Other practice locations
- 530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 444-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 82112 (WI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1295312072
Jacob Todd Matulle, DO's National Provider Identifier is 1295312072, issued on Mar 26, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Madison, WI. The record was last updated on Jun 30, 2026.