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MR. MATTHEW MICHAEL GERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800
Mailing address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(618) 212-6800

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003936
IL

Other

Enumeration date
10/29/2010
Last updated
04/11/2011
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