Individual
DR. MATTHEW COSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7500
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7191
NE
207W00000X
Ophthalmology Physician
2015017084
MO
207W00000X
Ophthalmology Physician
Primary
63750
MN
207W00000X
Ophthalmology Physician
69145
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015017084
MO LICENSE
MO
Enumeration date
06/27/2014
Last updated
03/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us