Mathew C Mathew, MD

NPI #1447354709 in Dixon, Illinois

Provider Information

NPI Number: 1447354709
Entity Type: Individual
Name: Mathew C Mathew, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Sep 8, 2006
Last Updated: Jul 18, 2011

Practice Location

Address: 215 E. 1ST STREET, SUITE #212
Address 2: KSB MEDICAL GROUP
City: Dixon
State: Illinois
ZIP Code: 61021
Phone: (815) 285-5484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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