Individual
MATT HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 CENTRAL AVE, HAWARDEN, IA 51023-2233
(712) 551-2374
Mailing address
PO BOX 233, HAWARDEN, IA 51023-0233
(712) 551-2374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17300
IA
Other
Enumeration date
12/24/2021
Last updated
12/24/2021
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