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Organization

GARY A MATTHYS MD PLC

Active
Other names
MATTHYS ORTHOPAEDIC CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
ABBY LEWIS (OFFICE MANAGER)
(701) 241-9300
Entity
Organization

Contact information

Practice address
213 STATE ST W, DETROIT LAKES, MN 56501-3005
(701) 241-9300
(701) 235-4525
Mailing address
2301 25TH ST S, SUITE I, FARGO, ND 58103-6104
(701) 241-9300
(701) 235-4525

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8590
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14488
ND
01
6I410MA
BCBS MN
MN
05
708457000
MN
05
7700312
SD
01
9809527
MEDICA
MN
01
HP32046
HEALTHPARTNERS
MN
Enumeration date
11/05/2009
Last updated
11/05/2009
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