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Individual

MR. MATTHEW DAVID HUETHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
222 3RD AVE SE STE 501, CEDAR RAPIDS, IA 52401-1542
(563) 920-7860
Mailing address
4626 ASPEN LN NE, CEDAR RAPIDS, IA 52402-2204
(563) 920-7860

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G162113
IA

Other

Enumeration date
01/26/2021
Last updated
01/28/2021
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