Organization
MED PLUS PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW W BRETZ DC (OWNER)
(618) 594-3671
Entity
Organization
Contact information
Practice address
20 PROFESSIONAL PARK DR, SUITE A, MARYVILLE, IL 62062-5830
(618) 288-5044
(618) 288-9472
Mailing address
18209 EULA MAE PKWY, CARLYLE, IL 62231-6407
(618) 594-3671
(618) 594-8058
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
248000193
IL
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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