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Contact Information

MATTHEW T LISTER, MD
1 S PARK ST
MADISON, WI53715-1375
 Phone: 608-287-2100
 Fax: 608-833-6932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MATTHEW T LISTER · (Male)

NPI # 1821200239
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2007
Last updated 01/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 50324-20
  • WI Medicaid 34926700
  • WI Other P00609990 RR MEDICARE
Hospital affiliation(s)
  • DIVINE SAVIOR HLTHCARE - (Acute Care)
    2817 NEW PINERY ROAD
    PORTAGE, WI 53901
  • MERITER HSPTL - (Acute Care)
    202 S PARK ST
    MADISON, WI 53715
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
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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