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Individual

MATTHEW LEON ENNEKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
128 N WALNUT ST, BATESVILLE, IN 47006-4814
(812) 933-5757
(812) 932-3303
Mailing address
7048 STATE ROAD 229, METAMORA, IN 47030-9600
(812) 934-4965

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002272A
IN

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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