Individual
MATTHEW LEE SUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 55433-5831
(763) 780-1520
Mailing address
199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 55433-5831
(763) 780-1520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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