Individual
DR. MATTHEW JACOB MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9245 MAIN ST, KANSAS CITY, MO 64114-3640
(479) 619-8963
Mailing address
9245 MAIN ST, KANSAS CITY, MO 64114-3640
(479) 619-8963
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76872-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
07/07/2023
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