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DEMATTIA MEDICAL GROUP, LLC
NPI 1285834994
Family Medicine in Milwaukee, WI

Active since July 20, 2007
5500 W VLIET ST, MILWAUKEE, WI 53208(414) 431-8536(414) 434-2049 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demattia Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMATTIA MEDICAL GROUP, LLC (NPI 1285834994) is a healthcare organization registered as a family medicine in Milwaukee, Wisconsin and active in the NPI registry since July 2007. The organization lists Laure Grace Demattia, President, as its authorized official.

NPPES Registry Identity

NPI1285834994
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEMATTIA MEDICAL GROUP, LLC
Location Address5500 W VLIET STMilwaukee, WI 53208-2120
Mailing Address5500 W Vliet StMilwaukee, WI 53208-2120 · (414) 431-8536 · Fax (414) 434-2049
Phone(414) 431-8536
Fax(414) 434-2049
Organization SubpartNo
Authorized OfficialLaure Grace DemattiaPresident · (414) 431-8536
Enumeration DateJuly 20, 2007
Last NPPES UpdateSeptember 21, 2007
✔ NPI 1285834994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 45995
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5500 W VLIET ST, Milwaukee, WI 53208
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Other Identifiers 1

Medicare UPINH97640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demattia Medical Group, LLC's NPI number?

The NPI number for Demattia Medical Group, LLC is 1285834994. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Demattia Medical Group, LLC located?

Demattia Medical Group, LLC is located at 5500 W Vliet St, Milwaukee, WI 53208. The listed phone number is (414) 431-8536.

What is Demattia Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Demattia Medical Group, LLC was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.