Individual
MATTHEW DEERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2098
(574) 296-3200
Mailing address
303 S NAPPANEE ST, ELKHART, IN 46514-2098
(574) 296-3200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005980A
IN
Other
Enumeration date
04/08/2015
Last updated
09/15/2021
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