Individual
MR. MATTHEW A. TYC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 WASHINGTON AVE SE, CEDAR RAPIDS, IA 52403-2215
(319) 365-9830
(319) 365-9860
Mailing address
1516 WASHINGTON AVE SE, CEDAR RAPIDS, IA 52403-2215
(319) 365-9830
(319) 365-9860
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433516
—
IA
Enumeration date
11/01/2006
Last updated
07/09/2007
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