Individual
DR. MATTHEW THOMAS EDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6435
(515) 241-8010
Mailing address
5684 FURNACE RD., CONNEAUT, OH 44030
(440) 813-5650
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
276527
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO-04812
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760773626
—
IA
Enumeration date
04/27/2011
Last updated
07/21/2022
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