Provider Demographics
NPI:1699934166
Name:SUNTKEN, MATT (DC)
Entity type:Individual
Prefix:DR
First Name:MATT
Middle Name:
Last Name:SUNTKEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3249 19TH ST NW
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6799
Mailing Address - Country:US
Mailing Address - Phone:507-206-6334
Mailing Address - Fax:507-206-6339
Practice Address - Street 1:3249 19TH ST NW
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6799
Practice Address - Country:US
Practice Address - Phone:507-206-6334
Practice Address - Fax:507-206-6339
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor