Individual
DR. MATTHEW ROBERT GOLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8286
(515) 358-9461
(515) 358-9489
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-9461
(515) 358-9489
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD-46778
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2016
Last updated
08/17/2020
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