Individual
MR. MATTHEW D GRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
333 GRAND AVE, SAINT PAUL, MN 55102-2582
(651) 294-2332
(651) 294-2333
Mailing address
333 GRAND AVE, SAINT PAUL, MN 55102-2582
(651) 294-2332
(651) 294-2333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5560
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262213271
GROUP TAX ID#
MN
Enumeration date
10/04/2007
Last updated
09/30/2011
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