Matthew Aue, MD
Family Medicine in Rockford, IL. Individual provider (NPI-1).
NPI number1699297606
StatusActive
Last updated in NPPESMar 1, 2021
Details
- NPI
- 1699297606
- Entity type
- Individual (NPI-1)
- Name
- Matthew Aue
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2017
- Certification date
- Mar 1, 2021
- Last updated
- Mar 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-154670 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 125-070630 | IL |
Practice location
815 Marchesano DrRockford, IL 61102-3521
Phone 779-696-5950
Mailing address
Po Box 78866Milwaukee, WI 53278-8866
Phone 779-696-7150 · Fax 815-972-1093
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