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Individual

MATTHEW AUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 MARCHESANO DR, ROCKFORD, IL 61102-3521
(779) 696-5950
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(815) 972-1093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-154670
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-070630
IL

Other

Enumeration date
07/11/2017
Last updated
03/01/2021
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