Individual
MATTEA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 FIR AVE E SUITE 200, FERGUS FALLS, MN 56537
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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