Individual
MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1545 NORTHWAY DR STE 120, SAINT CLOUD, MN 56303-1941
(320) 253-2441
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3672
MN
Other
Enumeration date
03/19/2020
Last updated
02/03/2022
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