Individual
DR. MATTHEW RICHARD CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-6000
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
53201
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
05/25/2007
Last updated
02/07/2013
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