Organization
CATALYST MEDICAL CENTER PC
Active
Other names
SUSAN M MATHISON MD LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M MATHISON MD (OWNER)
(701) 365-8700
Entity
Organization
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103
(701) 365-8700
(701) 365-8701
Mailing address
1800 21ST AVE S, FARGO, ND 58103
(701) 365-8700
(701) 365-8701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13515
—
ND
01
—
C04026
MN MEDICARE PIN
MN
Enumeration date
12/04/2006
Last updated
05/01/2009
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