Individual
MATTHEW K ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
506 7TH ST W, SAINT PAUL, MN 55102
(651) 333-4420
(651) 204-0966
Mailing address
506 7TH ST W, SAINT PAUL, MN 55102-3049
(651) 333-4420
(651) 204-0966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3343
MN
Other
Enumeration date
06/26/2013
Last updated
11/29/2018
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