Individual
DR. CHAD JEFFREY MATTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13743 85TH ST NE, OTSEGO, MN 55330-6815
(763) 497-0899
(763) 592-8091
Mailing address
13743 85TH ST NE, OTSEGO, MN 55330-6815
(612) 644-3392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4894
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609995877
GROUP NPI
MN
Enumeration date
01/02/2007
Last updated
01/16/2024
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