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Individual
MATTHEW DANIEL NEUBAUER
Active
Individual
MATTHEW DANIEL NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5745
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5745
DOCTOR OF CHIROPRACTIC STATE LICENSE
MN
Enumeration date
01/02/2013
Last updated
01/02/2013
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