NPI 1063590453
Matthew A. Tyc
Practice location
- Address
- 1516 Washington Ave SE, Cedar Rapids, IA 52403-2215
- Phone
- (319) 365-9830
- Fax
- (319) 365-9860
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1063590453
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Nov 2006
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.