Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew James Dolan, PA-C

Individual provider Physician Assistant · NPI 1215423504

Matthew James Dolan, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2018, 8 years ago. Practices with Door County Memorial Hospital, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 835 S Van Buren St, Green Bay, WI 54301-3526 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4493-23 (WI)

Record details

NPI number1215423504
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESAugust 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Door County Memorial Hospital — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay