Individual
MATTHEW JAMES HAMIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3428
Mailing address
608 SPRING ST, MENDOTA HEIGHTS, MN 55118-1842
(612) 245-5813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1702543
MN
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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