Individual
MR. BENJAMIN MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
723 30TH ST, DENVER, CO 80205-3037
(512) 671-0089
Mailing address
723 30TH ST, DENVER, CO 80205-3037
(512) 671-0089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
190294-5
MN
163W00000X
Registered Nurse
Primary
776308
TX
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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