Individual
DR. MATTHEW AUGUST MAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6505 CEDAR HILLS DR, CANNON FALLS, MN 55009-4253
(507) 263-3925
(507) 263-5065
Mailing address
6505 CEDAR HILLS DR, CANNON FALLS, MN 55009-4253
(507) 263-3925
(507) 263-5065
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01N80MA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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