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Individual

DR. MATTHEW RYAN FOELL II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
304 E 4TH AVE, MILBANK, SD 57252-2545
(605) 432-6418
(605) 432-6418
Mailing address
304 E 4TH AVE, MILBANK, SD 57252-2545
(605) 432-6418
(605) 432-6418

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1018
SD
111N00000X
Chiropractor
4067
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7601790
SD
05
864639200
MN
Enumeration date
03/08/2006
Last updated
06/18/2008
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