Individual
KATHLEEN ELAINE MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14101
MN
Other
Enumeration date
05/17/2022
Last updated
08/24/2022
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