Individual
DR. MATTHEW JORDAN GLOGOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085971A
IN
207RC0000X
Cardiovascular Disease Physician
01085971A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
22943
ND
207RC0000X
Cardiovascular Disease Physician
66459
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2018
Last updated
10/31/2025
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