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MR. MATTHEW DAVID COSTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 262-9000
Mailing address
4537 46TH AVE S, MINNEAPOLIS, MN 55406-3619
(303) 905-6150

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 195632-8
MN

Other

Enumeration date
12/14/2012
Last updated
01/31/2019
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