Individual
MR. MATTHEW STEVEN MASSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716
(218) 281-9200
(218) 281-9595
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11138
MN
Other
Enumeration date
07/11/2012
Last updated
09/20/2016
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