Provider Information for 1861887788
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MATTHEW ROBERT POJE
Sex: Male
NPI: 1861887788
Last Updated: 2015-03-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1861887788 | ||||||||
| Enumeration Date | 2015-03-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 300 4TH ST N LA CROSSE, WI 54601-3228 United States Phone: 608-784-4357 | Fax:608-785-6122 | ||||||||
| Primary Practice Address | 300 4TH ST N LA CROSSE, WI 54601-3228 United States Phone: 608-784-4357 | Fax:608-785-6122 | ||||||||
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