Individual
MATEUS FERRAZ-SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
220 ROBERT ST S, SUITE 104, SAINT PAUL, MN 55107-1677
(651) 222-1155
(651) 222-1188
Mailing address
220 ROBERT ST S, SUITE 104, SAINT PAUL, MN 55107-1677
(651) 222-1155
(651) 222-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4992
MN
Other
Enumeration date
09/10/2007
Last updated
04/21/2010
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