Basic Information
| Provider Information | |||||||||
| NPI: | 1932132883 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SYMKOWICK | ||||||||
| FirstName: | MATTTHEW | ||||||||
| MiddleName: | SCHROEDER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 SUNNYSIDE AVE | ||||||||
| Address2: | |||||||||
| City: | PIEDMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946114455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104281948 | ||||||||
| FaxNumber: | 7076512743 | ||||||||
| Practice Location | |||||||||
| Address1: | 975 SERENO DR | ||||||||
| Address2: | |||||||||
| City: | VALLEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945892441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7076514936 | ||||||||
| FaxNumber: | 7076512743 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 12/13/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D0062489 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD034950 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A78791 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.