Andres, Matthew Wade

Andres, Matthew Wade is an individual health care provider with primary practice located at 1111 6Th Ave Mercy Medical Center Pathology Department, Des Moines IA 50314-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Andres, Matthew Wade can be contacted via phone (515) 247-3115.

Contact Information

Primary practice address
1111 6Th Ave Mercy Medical Center Pathology Department Des Moines IA 50314-2610
Phone: (515) 247-3115
Fax: (515) 643-8911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 3678 Iowa

Profile Details

NPI number 1891720678
LBN Legal business name Andres, Matthew Wade
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891720678 NPPES
Iowa MEDICAID APPLIED FOR

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