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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