Matthew Wilden PA-C

NPI 1689867194 - Physician Assistant - 363A00000X

NPI Details
NPI 1689867194
Gender Male
Enumeration Date 08/20/2007
Last Updated 08/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
502 N 9TH AVE
VINTON IA, 52349-2254, US
Phone (319) 472-6200
Fax
Business Location
502 N 9TH AVE
VINTON IA, 52349-2254, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 001818
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According to our database, Matthew Wilden PA-C NPI is 1689867194, taxonomy code is 363A00000X and license number is 001818, license state is located at Iowa. Matthew Wilden PA-C physically located at 502 N 9th Ave, Vinton IA, 52349-2254. NPI Number Matthew Wilden PA-C has the Individual type.

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1689867194 NPI number is provided on an as is basis without warranty of any kind. 1689867194 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Wilden PA-C are for informational purposes only.