Individual
DR. ELYCIA R MATUSHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2504
(612) 302-8200
(612) 302-8275
Mailing address
800 FREEPORT AVE NW, ELK RIVER, MN 55330-2723
(763) 581-5200
(763) 581-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56637
MN
Other
Enumeration date
04/22/2012
Last updated
07/21/2022
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