Individual
MATTHEW DANIEL NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 W MAIN ST, WACONIA, MN 55387-1020
(952) 442-9876
(952) 442-2494
Mailing address
20 W MAIN ST, WACONIA, MN 55387-1020
(952) 442-9876
(952) 442-2494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5745
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5745
DOCTOR OF CHIROPRACTIC STATE LICENSE
MN
Enumeration date
01/02/2013
Last updated
01/02/2013
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