Individual
MATTHEW ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
(612) 884-0600
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036142884
IL
207RI0200X
Infectious Disease Physician
Primary
68015
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2014
Last updated
12/18/2020
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