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Individual
DR. MATTHEW WILLIAM GORMAN
Active
Individual
DR. MATTHEW WILLIAM GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
55294
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
55294
MN
207RS0010X
Sports Medicine (Internal Medicine) Physician
55294
MN
Other
Enumeration date
04/20/2011
Last updated
06/14/2023
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