Mathew Lee Wibel, ABC C.PED

NPI #1285105064 in Little Chute, Wisconsin

Provider Information

NPI Number: 1285105064
Entity Type: Individual
Name: Mathew Lee Wibel, ABC C.PED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pedorthist
Credential: ABC C.PED
Enumeration Date: Dec 5, 2018
Last Updated: Dec 5, 2018

Practice Location

Address: 3 SAINT CHARLES PL
City: Little Chute
State: Wisconsin
ZIP Code: 54140-2256
Phone: (715) 307-9071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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