| Eva T Matanguihan, MD | |
|
2031 Peach St, Wisconsin Rapids, WI 54494-5181 | |
| (715) 423-0122 | |
| Not Available |
| Full Name | Eva T Matanguihan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2031 Peach St, Wisconsin Rapids, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508878802 | NPI | - | NPPES |
| 32164100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36788 (Wisconsin) | Primary |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Eva T Matanguihan, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 | Eva T Matanguihan, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 |
Lawrence G Leibert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Regis R Chamberlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |