Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew David Wonchala, MD

Individual provider Diagnostic Radiology Physician · NPI 1740773563

Dr. Matthew David Wonchala, MD is a Diagnostic Radiology in Waukesha, Wisconsin. Graduated from Central Michigan College of Medicine in 2018, 8 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
8
Trained at
Central Michigan College of Medicine
Licensed in
MI, WI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

W231N1440 Corporate Ct
Waukesha, WI 53186-1303
Phone: (262) 896-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 593-7000
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-7425

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 101844 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4351031905 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301502914 (MI)

Record details

NPI number1740773563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2018
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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