Individual
MR. MATTHEW GLEN GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
511 W LAKE AVE, PEORIA, IL 61614
(309) 682-2840
(309) 682-2569
Mailing address
511 W LAKE AVE, PEORIA, IL 61614
(309) 682-2840
(309) 682-2569
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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