Individual
MATTHEW JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
252
MN
367500000X
Certified Registered Nurse Anesthetist
R 211725-0
MN
Other
Enumeration date
04/04/2013
Last updated
02/01/2024
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