Individual
DR. MATTHEW LAWRENCE WAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 MCKINSEY DR, MAQUOKETA, IA 52060-2014
(563) 652-6884
Mailing address
115 MCKINSEY DR, MAQUOKETA, IA 52060-2014
(563) 652-6884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06673
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443788
—
IA
01
—
13914
BLUE CROSS BLUE SHIELD
IA
Enumeration date
03/20/2007
Last updated
07/08/2007
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