Individual
AMY MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 W 76TH ST STE 116, EDEN PRAIRIE, MN 55344-4202
(763) 688-1727
Mailing address
11701 CENTRAL PARK WAY APT 1254, MAPLE GROVE, MN 55369-3121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117314
MN
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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