Matthew D Danilson PA- C

NPI 1669669628 - Physician Assistant - 363A00000X

NPI Details
NPI 1669669628
Gender Male
Enumeration Date 10/03/2007
Last Updated 01/23/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
12499 UNIVERSITY AVE
SUITE 210
CLIVE IA, 50325-8281, US
Phone (515) 440-2676
Fax (515) 440-2677
Business Location
12499 UNIVERSITY AVE
SUITE 210
CLIVE IA, 50325-8281, US
Phone (515) 440-2676
Fax (515) 440-2677
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 2199
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According to our database, Matthew D Danilson PA- C NPI is 1669669628, taxonomy code is 363A00000X and license number is 2199, license state is located at Wisconsin. Matthew D Danilson PA- C physically located at 12499 University Ave, Clive IA, 50325-8281. NPI Number Matthew D Danilson PA- C has the Individual type.

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1669669628 NPI number is provided on an as is basis without warranty of any kind. 1669669628 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew D Danilson PA- C are for informational purposes only.