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Individual

DR. TED MATZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11600 STATE AVE, BRAINERD, MN 56401-7306
(218) 330-7455
(218) 828-2663
Mailing address
14241 GRAND OAKS DR, BAXTER, MN 56425-8747
(218) 330-7455
(218) 829-9141

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42965
MN

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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