Individual
MATTHEW WADE ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, MERCY MEDICAL CENTER PATHOLOGY DEPARTMENT, DES MOINES, IA 50314-2610
(515) 247-3115
(515) 643-8911
Mailing address
2231 NW 108TH ST, DES MOINES, IA 50325-3729
(515) 334-7524
(515) 334-7528
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3678
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
IA
Enumeration date
07/11/2006
Last updated
07/08/2007
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