Individual
MATTHEW L MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(651) 635-9173
(651) 628-2999
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6159
CERTIFIED NURSE PRACTITIONER
MN
01
—
APN.0991439-NP
STATE LICENSE
CO
Enumeration date
07/09/2012
Last updated
10/30/2024
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