Individual
MATTHEW DAVID HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1299
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64779
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
08/14/2020
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