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Individual

DR. MATTHEW WILLIAM TETREAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MAYO CLINIC 200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125063117
IL
207X00000X
Orthopaedic Surgery Physician
Primary
63745
MN
207X00000X
Orthopaedic Surgery Physician
70002
WI

Other

Enumeration date
05/28/2013
Last updated
11/16/2018
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