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Contact Information

MATHEW P HERBST, MD
1300 S CENTURY AVE
WAUNAKEE, WI53597
 Phone: 608-849-4315
 Fax: 608-850-1606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATHEW P HERBST · (Male)

NPI Number 1811020969
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2007
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 10762-024
  • WI License # 66597-20
  • WI Medicaid 1811020969
Hospital affiliation(s)
  • ST CLARE HSPTL HEALTH SVCS - (Acute Care)
    707 14TH ST
    BARABOO, WI 53913
  • ST MARY'S HOSPITAL - (Acute Care)
    700 SOUTH PARK ST
    MADISON, WI 53715
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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