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Individual
DR. ROSS EDWARD MATHIASEN
Active
Individual
DR. ROSS EDWARD MATHIASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40647
IA
207P00000X
Emergency Medicine Physician
R-8823
IA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
28791
NE
Other
Enumeration date
05/13/2010
Last updated
09/04/2015
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