Individual
DR. MATTHEW BRENNECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
1121 W PROSPECT RD, SUITE B, FORT COLLINS, CO 80526-5623
(970) 294-1977
Mailing address
3501 PATTERSON CT, FORT COLLINS, CO 80526-4254
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0000087
CO
Other
Enumeration date
10/27/2014
Last updated
03/24/2015
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