Individual
DR. MATTHIAS JOSEPH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 W 3RD ST, SUITE 100, MONTICELLO, MN 55362-8791
(763) 295-8826
(763) 295-1900
Mailing address
7266 COUNTY ROAD 37 NE, SAINT MICHAEL, MN 55376-3007
(763) 295-4789
(763) 295-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25273
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322877100
—
MN
Enumeration date
03/14/2006
Last updated
01/09/2008
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