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Dr. Matthew Charles Brouns

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NPI Number Detailed Information

Provider Information:

Name: Dr. Matthew Charles Brouns
Gender: M
Provider License Number If Given: MD00037209

NPI Information:

NPI: 1508869546
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/22/2011

Provider Business Mailing Address:

Address: 210 SE 136TH AVE
Vancouver, WA 98684
Phone Number: 3609449889
Fax Number: 3609449686

Provider Business Practice Location Address:

Address: 210 SE 136TH AVE
Vancouver, WA 98684
Phone Number: 3609449889
Fax Number: 3609449686

Provider Taxonomy:

Primary: 207RH0003X
Secondary (if any):
State: WA

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