Individual
MATTHEW J KETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 PLAZA CIR STE A, WATERLOO, IA 50701-5139
(319) 236-7720
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33683
IA
Other
Enumeration date
01/04/2006
Last updated
02/22/2022
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