Individual
ROSAMMA O MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(763) 488-8346
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301058651
MI
207L00000X
Anesthesiology Physician
Primary
74169
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104264947
—
MI
Enumeration date
05/05/2006
Last updated
06/24/2024
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