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Individual

MATTHEW G KUSHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2312 S 6TH ST, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454-1336
(612) 273-8700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 273-8700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LP3271
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1012202
PREFERRED ONE
MN
01
102795
U CARE
MN
01
157172
FAIRVIEW
MN
01
6142167
MEDICA-PRIMARY
MN
01
768210
ARAZ
01
8D928KU
BCBS
MN
01
HP22345
HEALTH PARTNERS
MN
Enumeration date
10/16/2006
Last updated
07/08/2007
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