Individual
MATTHEW A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 PACIFIC AVE, MORRIS, MN 56267-1943
(320) 589-3652
(320) 589-1808
Mailing address
400 E 8TH ST, MORRIS, MN 56267-1109
(651) 307-0754
(320) 589-1808
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1720166259
MN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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