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NPI Code Detail

MEDICARE: DR. MATTHEW G. ROSSITER D.C.

MEDICARE: DR. MATTHEW G. ROSSITER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC28733CA
2111N00000XChiropractor5182MN

General Provider Information

NPI Number : 1457452666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW G. ROSSITER D.C.
Provider Business Mailing Address
First Line : 100 2ND ST S
Second Line :
City : SARTELL
State : MN
Zip : 56377-1977
Country : US
Telephone Number : 320-251-2600
Fax Number : 320-251-4763
Provider Business Practice Location Address
First Line : 100 2ND ST S
Second Line :
City : SARTELL
State : MN
Zip : 56377-1977
Country : US
Telephone Number : 320-251-2600
Fax Number : 320-251-4763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 08/27/2014

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