Individual
NOE B MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
13042
ND
207RI0200X
Infectious Disease Physician
45260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497499900
—
MN
Enumeration date
02/28/2006
Last updated
06/19/2017
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