EDWARD ROBERT MATHIS

IRON MOUNTAIN, MI
NPI1750850418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501011347)
Enumeration Date2018-11-24
Last Update Date2018-11-24
Business Address
EDWARD ROBERT MATHIS
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 906-776-5548
Mailing Address
EDWARD ROBERT MATHIS
N16564 VINGER LN
PEMBINE, WI 54156-9359
Phone number:
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