Individual
JOHN T MATEYKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
124 MINN AVE N, AITKIN, MN 56431
(218) 927-3754
(218) 927-6349
Mailing address
43277 335TH LANE, AITKIN, MN 56431
(218) 927-3754
(218) 927-6349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1146714
MN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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